NPIMap

Individual provider Active NPI

Chima C Nwizu, MD

  • Family Medicine Physician
  • Greeley, CO
National Provider Identifier
1902882517
Registry record updated Apr 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
40934 Issued in CO
Practice address
6801 W 20TH St Unit 101
Greeley, CO 80634-9640
Phone
(970) 378-8000
Fax
(970) 378-8088
NPI assigned
Dec 16, 2005
Last updated
Apr 1, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 40934 CO Primary

Addresses

Primary practice location

6801 W 20TH St Unit 101
Greeley, CO 80634-9640

Mailing address

6801 W 20TH St
Suite 101, Attn:Sue
Greeley, CO 80634-9637
Phone (970) 378-8000

Other identifiers 1

IdentifierTypeStateIssuer
81885571MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20051005000663 CO Practitioner - Family Practice 7214962554 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Physicians of Greeley LLPGroup PAC ID 0143115691, 28 clinicians

Practice addresses (Care Compare)

6801 W 20TH St
Unit 101
Greeley, CO 80634-9640
Phone (970) 378-8000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40934COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Health Physicians Colorado LLC Current Accepting new patients
Banner Hospital Based Physicians Colorado LLC Current Accepting new patients
Banner Health Physicians Colorado LLC CurrentSince Apr 10, 2020 Accepting new patients
Banner Health Physicians Colorado LLC CurrentSince Apr 10, 2020 Accepting new patients
Banner Hospital Based Physicians Colorado LLC CurrentSince Apr 10, 2020 Accepting new patients
Family Physicians of Greeley LLP Family Medicine Current Accepting new patients
Banner Hospital Based Physicians Colorado LLC CurrentSince Apr 10, 2020 Accepting new patients
Family Physicians of Greeley, LLP Family Medicine CurrentSince Aug 14, 2008 Accepting new patients
Tender Hearts Internal Medicine & Geriatric Care PC PastSince Dec 1, 2015 Accepting new patients
North Colorado Medical Center Past Accepting new patients

Locations

1801 16th St
Greeley, CO 80631
Phone (970) 352-4121

1801 16th St
Ste C2B
Greeley, CO 80631
Phone (970) 810-4121

2520 W 16th St
Greeley, CO 80634
Phone (970) 356-2520

6801 W 20th St
Unit 101
Greeley, CO 80634
Phone (970) 378-8000

235 W Fletcher St
Haxtun, CO 80731
Phone (970) 522-7743

Interoperability endpoints

  • Direct secure messaging: chima.nwizu.p1@direct.fpgreeley.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 10

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 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1902882517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 W 20TH ST",
            "address_2": "SUITE 101, ATTN:SUE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806349637",
            "telephone_number": "970-378-8000",
            "fax_number": "970-378-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 W 20TH ST UNIT 101",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806349640",
            "telephone_number": "970-378-8000",
            "fax_number": "970-378-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWIZU",
        "first_name": "CHIMA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "40934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "81885571",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

Verify at the official NPI Registry.