NPIMap

Individual provider Active NPI

Iheoma Nwaogu, M.D.

  • Surgery Physician
  • Los Gatos, CA
National Provider Identifier
1861713182
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A150923 Issued in CA
Practice address
320 Dardanelli LN Ste 23B
Los Gatos, CA 95032
Phone
(408) 540-3636
NPI assigned
Jun 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 2010018939 MO
Surgery Physician 208600000X A150923 CA Primary

Addresses

Primary practice location

320 Dardanelli LN Ste 23B
Los Gatos, CA 95032

Mailing address

320 Dardanelli LN Ste 23B
Los Gatos, CA 95032-1441
Phone (408) 540-3636

Other practice location 1

400 Parnassus Ave
San Francisco, CA 94143-2202
Phone (415) 476-1000

Other practice location 2

1 Barnes Jewish Hospital Plz
Saint Louis, MO 63110-1003
Phone (314) 362-8028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20170823001681 CA Practitioner - General Surgery 9739451923 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Washington University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

320 Dardanelli LN
Suite 23
Los Gatos, CA 95032-1441
Phone (408) 540-3636

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A150923CAMDSurgery Physician
2010018939MOMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iheoma Nwaogu MD Inc Surgery CurrentSince Aug 1, 2019 Accepting new patients
El Camino Hospital Past Accepting new patients
University of California San Francisco Past Accepting new patients
El Camino Hospital Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
El Camino Health Medical Network, LLC Past Accepting new patients

Locations

320 Dardanelli Ln
Ste 23B
Los Gatos, CA 95032
Phone (408) 866-2500

320 Dardanelli Ln
Ste 23B
Los Gatos, CA 95032
Phone (408) 540-3636

320 Dardanelli Ln
Ste 23
Los Gatos, CA 95032
Phone (408) 540-3636

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20020/brand/1/csg/1/fhir/r4
  • Direct secure messaging: iheoma.nwaogu.1@20020.direct.athenahealth.com

Organizations & group practices 6

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 4

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": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1861713182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 DARDANELLI LN STE 23B",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321441",
            "telephone_number": "408-540-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 DARDANELLI LN STE 23B",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "95032",
            "telephone_number": "408-540-3636"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Parnassus Ave",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941432202",
            "country_code": "US",
            "telephone_number": "415-476-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Barnes Jewish Hospital Plz",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631101003",
            "country_code": "US",
            "telephone_number": "314-362-8028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NWAOGU",
        "first_name": "IHEOMA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-22",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "2010018939",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A150923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

Verify at the official NPI Registry.