Individual provider Active NPI

Christian Nnamdi Nwankwo Jr., M.D., MPH, FAAFP

  • Family Medicine Physician
  • Gaithersburg, MD
National Provider Identifier
1881765170
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D44239 Issued in MD
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

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
146781601MedicaidMD

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080930000175 DC Practitioner - Family Practice 6103993332 Reassigns benefits to 1 organization

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
Capital Primary Care IncGroup PAC ID 6002983236, 2 clinicians
Sun Rise Rehab LLCGroup PAC ID 4880783810, 22 clinicians

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 Inpatient rehabilitation facility, Rockville, MD, CCN 213029

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Primary Care Inc Single Specialty CurrentSince Jun 28, 1994 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.