Individual provider Active NPI

Chinyere Kelechi Agu, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Brooklyn, NY
National Provider Identifier
1821580101
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
316474 Issued in NY
Practice address
32 Georgetown LN
Brooklyn, NY 11234-5742
Phone
(347) 978-6522
NPI assigned
Jun 3, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 316474 NY Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

32 Georgetown LN
Brooklyn, NY 11234-5742

Mailing address

32 Georgetown LN
Brooklyn, NY 11234-5742
Phone (347) 978-6522

Other names 1

  • Chinyere Kelechi Arungwa Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230731002440 NY Practitioner - Internal MedicinePractitioner - Endocrinology 7315308871 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Endocrinology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Be Well Primary Health Care Center LLCGroup PAC ID 2062305030, 44 clinicians
Hillside Polymedic Diagnostic and Treatment Center IncGroup PAC ID 5496977910, 8 clinicians
University Physicians of Brooklyn, Inc.Group PAC ID 0749192284, 174 clinicians

Practice addresses (Care Compare)

1577 Fulton St
Brooklyn, NY 11213-1125
Phone (347) 915-1411

18730 Hillside Ave
Jamaica, NY 11432-3216
Phone (718) 264-1111

3007 Farragut Rd
Brooklyn, NY 11210-1537
Phone (718) 434-0711

450 Clarkson Ave
Brooklyn, NY 11203-2012
Phone (718) 826-4959

Hospital & facility affiliations

  • Suny/Downstate University Hospital of Brooklyn Hospital, Brooklyn, NY, CCN 330350

National Provider Directory

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

Practice roles (8 of 12)

OrganizationSpecialtyStatusNew patients
Be Well Primary Health Care Center, LLC CurrentSince Oct 2, 2023 Accepting new patients
Goldstep Ambulatory Surgery Center, LLC CurrentSince Mar 29, 2024 Accepting new patients
University Physicians of Brooklyn, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Hillside Polymedic Diagnostic & Treatment Center Inc CurrentSince Jun 27, 2023 Accepting new patients
University Physicians of Brooklyn, Inc. Current Accepting new patients
University Physicians of Brooklyn, Inc. Endocrinology, Diabetes & Metabolism CurrentSince Jul 1, 2023 Accepting new patients
Hillside Polymedic P.C. PastSince Jun 27, 2023 Accepting new patients
University Physicians of Brooklyn, Inc Past Accepting new patients

Locations

3007 Farragut Rd
Brooklyn, NY 11210
Phone (347) 915-1177

1577 Fulton St
Brooklyn, NY 11213
Phone (347) 915-1411

450 Clarkson Ave
Brooklyn, NY 11203
Phone (718) 270-1603

18730 Hillside Ave
Jamaica, NY 11432
Phone (718) 264-1111

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Organizations & group practices 8

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

Hospital & facility affiliations 1

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": "1527984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1821580101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 GEORGETOWN LN",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112345742",
            "telephone_number": "347-978-6522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 GEORGETOWN LN",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112345742",
            "telephone_number": "347-978-6522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGU",
        "first_name": "CHINYERE",
        "middle_name": "KELECHI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-03",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "316474",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHINYERE",
            "last_name": "ARUNGWA",
            "middle_name": "KELECHI",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.