NPIMap

Individual provider Active NPI

Agodichi U Nwosu, MD

  • Cardiovascular Disease Physician
  • Fayetteville, NC
National Provider Identifier
1902942931
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
200001224 Issued in NC
Practice address
909 S McPherson Church Rd
Fayetteville, NC 28303-5350
Phone
(910) 483-0018
NPI assigned
Jan 29, 2007
Last updated
Sep 27, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 200001224 NC Primary

Addresses

Primary practice location

909 S McPherson Church Rd
Fayetteville, NC 28303-5350

Mailing address

909 S McPherson Church Rd
Fayetteville, NC 28303-5350
Phone (910) 483-0018

Other identifiers 2

IdentifierTypeStateIssuer
128AAOtherNCBCBC-NC INDIV
89128AAMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20031231000225 NC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3375442197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

909 S McPherson Church Rd
Fayetteville, NC 28303-5350
Phone (910) 483-0018

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.79 of 100Reported as individual
Quality
97.38
Improvement activities
40
Cost
84.86

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10
Varicose vein removal1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200001224NCMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Heart Physicians PLLC Cardiovascular Disease CurrentSince Jun 1, 2003 Accepting new patients
Midlands Cardiology Associates Cardiovascular Disease PastSince Jan 12, 2023 Accepting new patients
Fayetteville Medical Clinic, PC PastSince May 5, 2009 Accepting new patients

Locations

3613 Raeford Rd
#B
Fayetteville, NC 28304
Phone (910) 483-0018

3613 Raeford Rd
Ste C
Fayetteville, NC 28304
Phone (910) 483-7506

909 S McPherson Church Rd
Fayetteville, NC 28303
Phone (910) 323-0065

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GEFACA/Endpoint/GEFACA

Organizations & group practices 3

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1902942931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 S MCPHERSON CHURCH RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035350",
            "telephone_number": "910-483-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 S MCPHERSON CHURCH RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035350",
            "telephone_number": "910-483-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWOSU",
        "first_name": "AGODICHI",
        "middle_name": "U",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "200001224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBC-NC INDIV",
            "identifier": "128AA",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89128AA",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.