Active NPI
Christian Nnamdi Nwankwo Jr., M.D., MPH, FAAFP
- Family Medicine Physician
- Gaithersburg, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- D44239
- Practice address
- 17 Firstfield Rd
2ND Floor
Gaithersburg, MD 20878-1774 - Phone
- (301) 977-9077
- Fax
- (301) 977-0402
- NPI assigned
- Nov 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D44239 | MD | Primary |
Addresses
Primary practice location
17 Firstfield Rd
2ND Floor
Gaithersburg, MD 20878-1774
Mailing address
17 Firstfield Rd
2ND Floor
Gaithersburg, MD 20878-1774
Phone (301) 977-9077
Other practice location 1
7525 Greenway Center Dr
Greenbelt, MD 20770-3509
Phone (301) 445-0600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 146781601 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
17 1Stfield Rd
Suite 200
Gaithersburg, MD 20878-1756
Phone (301) 977-9077
7249 Hanover Pkwy
Suite a
Greenbelt, MD 20770-3608
Phone (301) 613-8923
7525 Greenway Ctr Dr
Suite 205
Greenbelt, MD 20770-3525
Phone (301) 445-0600
Hospital & facility affiliations
- Adventist Healthcare Rehabilitation at Rockville
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital Primary Care Inc | Single Specialty | Current | Accepting new patients |
| Capital Primary Care Inc | Single Specialty | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
17 Firstfield Rd
Fl 2
Gaithersburg, MD 20878
Phone (301) 977-9077
17 Firstfield Rd
Ste 200
Gaithersburg, MD 20878
Phone (301) 330-4243
7525 Greenway Center Dr
Ste 205
Greenbelt, MD 20770
Phone (301) 445-0600
Interoperability endpoints
- christian.nwankwo@514725723242500.direct.elationemr.com
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Gaithersburg, MD
- NPI 1447429634
DC, Single Specialty
-
- Physical Therapist
- Greenbelt, MD
- NPI 1164602314
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital
- Rockville, MD
- NPI 1043216773
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731369600000",
"number": "1881765170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 FIRSTFIELD RD",
"address_2": "2ND FLOOR",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208781774",
"telephone_number": "301-977-9077",
"fax_number": "301-977-0402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 FIRSTFIELD RD",
"address_2": "2ND FLOOR",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208781774",
"telephone_number": "301-977-9077",
"fax_number": "301-977-0402"
}
],
"practiceLocations": [
{
"address_1": "7525 Greenway Center Dr",
"address_purpose": "LOCATION",
"city": "Greenbelt",
"state": "MD",
"postal_code": "207703509",
"country_code": "US",
"telephone_number": "301-445-0600",
"fax_number": "301-445-1516",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NWANKWO",
"first_name": "CHRISTIAN",
"middle_name": "NNAMDI",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D., MPH, FAAFP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-10",
"last_updated": "2024-11-12",
"certification_date": "2024-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "MD",
"license": "D44239",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "146781601",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.