NPIMap

Individual provider Active NPI

Chiemeka Joseph Nwokonko, MD

  • Emergency Medicine Physician
  • Wellsville, NY
National Provider Identifier
1902841026
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
196242 Issued in NY
Practice address
191 N Main St
Wellsville, NY 14895-1150
Phone
(585) 247-6810
Fax
(315) 589-9406
NPI assigned
Jun 20, 2006
Last updated
May 21, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 196242 NY Primary

Addresses

Primary practice location

191 N Main St
Wellsville, NY 14895-1150

Mailing address

3388 Ridge Rd
Williamson, NY 14589-9352
Phone (315) 589-9657

Other identifiers 3

IdentifierTypeStateIssuer
01485854MedicaidNY
000912017006OtherNYBCBS
P00092923OtherNYRRM LEGACY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040415001092 NY Practitioner - Emergency MedicinePractitioner - Internal Medicine 6002801495 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delphi Healthcare PLLCGroup PAC ID 9537229661, 68 clinicians

Practice addresses (Care Compare)

845 Routes 5 and 20
Irving, NY 14081-9706
Phone (716) 951-7000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Delphi Healthcare PLLC Emergency Medicine CurrentSince Dec 1, 2022 Accepting new patients
Medical Services of Buffalo, PC CurrentSince Jul 21, 2019 Accepting new patients
Keystone Medical Services of New York, PC Emergency Medicine CurrentSince Mar 21, 2009 Accepting new patients
St James Hospital Past Accepting new patients
Internal Medicine at Lakeside Past Accepting new patients
Delphi Emergency Physician Services Past Accepting new patients

Locations

411 Canisteo St
Hornell, NY 14843
Phone (607) 324-8000

845 Route 5 and 20
Irving, NY 14081
Phone (716) 593-1100

521 East Ave
Lockport, NY 14094
Phone (716) 434-9111

621 10th St
North Falls, NY 14301
Phone (716) 278-4000

515 Main St
Olean, NY 14760
Phone (716) 373-2600

224 E Main St
Springville, NY 14141
Phone (716) 592-2871

191 N Main St
Wellsville, NY 14895
Phone (585) 593-1100

Interoperability endpoints

  • Direct secure messaging: chiemeka_nwokonko@yourcarecommunity.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211328000000",
    "number": "1902841026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3388 RIDGE RD",
            "city": "WILLIAMSON",
            "state": "NY",
            "postal_code": "145899352",
            "telephone_number": "315-589-9657",
            "fax_number": "315-589-9406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 N MAIN ST",
            "city": "WELLSVILLE",
            "state": "NY",
            "postal_code": "148951150",
            "telephone_number": "585-247-6810",
            "fax_number": "315-589-9406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWOKONKO",
        "first_name": "CHIEMEKA",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2008-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "196242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01485854",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000912017006",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRM LEGACY",
            "identifier": "P00092923",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellsville, NY

Sources for this page

Verify at the official NPI Registry.