NPIMap

Individual provider Active NPI

Tochukwu Nwabunike, M.D.

  • Internal Medicine Physician
  • Granger, IN
National Provider Identifier
1821476185
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01080245A Issued in IN
Practice address
50673 Lakeside Dr
Granger, IN 46530-4932
Phone
(574) 239-5958
NPI assigned
May 7, 2015
Last updated
Nov 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Internal Medicine Physician 207R00000X 01080245A IN Primary
Hospitalist Physician 208M00000X 01080245 IN

Addresses

Primary practice location

50673 Lakeside Dr
Granger, IN 46530-4932

Mailing address

50673 Lakeside Dr
Granger, IN 46530-4932
Phone (574) 239-5958

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180524001830 IN Practitioner - HospitalistPractitioner - Internal Medicine 3779848601 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Galen Inpatient Physicians PCGroup PAC ID 3678464633, 1,045 clinicians

Practice addresses (Care Compare)

1701 Spring St
Suite B
Jeffersonville, IN 47130-2930
Phone (812) 284-2273

5215 Holy Cross Pkwy
Mishawaka, IN 46545-1469
Phone (574) 335-2443

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.4 of 100Reported as group
Quality
65.6
Improvement activities
40
Cost
71.06

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01080245INMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians of Indiana, LLC Internal Medicine CurrentSince Sep 11, 2018 Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Nov 1, 2024 Accepting new patients
Total Care Family Practice Rick Bobay LLC Internal Medicine CurrentSince Jan 2, 2024 Accepting new patients
Sound Physicians of Indiana, LLC Internal Medicine CurrentSince Sep 11, 2018 Accepting new patients
Sound Physicians of Indiana, LLC Internal Medicine Current Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Nov 1, 2024 Accepting new patients
Hospitalist Medicine Physicians of Indiana, LLC Internal Medicine CurrentSince Apr 18, 2018 Accepting new patients
Total Care Family Practice Rick Bobay LLC Internal Medicine CurrentSince Jan 2, 2024 Accepting new patients
Galen Inpatient Physicians, PC Internal Medicine Current Accepting new patients
Transitions Health Network LLC Internal Medicine Past Accepting new patients

Locations

601 W 2nd St
Bloomington, IN 47403
Phone (812) 353-5252

1701 Spring St
Ste B
Jeffersonvlle, IN 47130
Phone (812) 284-2272

5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

Interoperability endpoints

  • Direct secure messaging: tnwabunike1158589@direct.trinity-health.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Majestic Care of GoshenGoshen, IN, CCN 155689 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Sep 30, 2024
Sep 30, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1430956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1821476185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50673 LAKESIDE DR",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465304932",
            "telephone_number": "574-239-5958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50673 LAKESIDE DR",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465304932",
            "telephone_number": "574-239-5958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWABUNIKE",
        "first_name": "TOCHUKWU",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-07",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01080245A",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IN",
            "license": "01080245",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granger, IN

Sources for this page

Verify at the official NPI Registry.