Individual provider Active NPI

Chike Magnus Nzerue, M.D.

  • Nephrology Physician
  • Cookeville, TN
National Provider Identifier
1912976762
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
40384 Issued in TN
Practice address
145 W 4TH St Ste 102
Cookeville, TN 38501-2476
Phone
(931) 783-2902
Fax
(931) 783-2219
NPI assigned
Mar 15, 2006
Last updated
Jan 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 40384 TN Primary

Addresses

Primary practice location

145 W 4TH St Ste 102
Cookeville, TN 38501-2476

Mailing address

140 W 7TH St
Cookeville, TN 38501-1726
Phone (931) 783-5582

Other identifiers 1

IdentifierTypeStateIssuer
3336429MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TN, NV3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20051220000366 GA Practitioner - HospitalistPractitioner - Family PracticePractitioner - Nephrology 1850322017
I20060111000681 TN Practitioner - NephrologyPractitioner - Internal Medicine 1850322017 Reassigns benefits to 1 organization
I20170913003004 NV Practitioner - Internal Medicine 1850322017 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meharry Medical CollegeGroup PAC ID 3375456163, 37 clinicians

Practice addresses (Care Compare)

1005 Dr DB Todd Jr Blvd
Nashville, TN 37208-3501
Phone (615) 327-6000

3001 Saint Rose Pkwy
Henderson, NV 89052-3839
Phone (702) 616-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
40.99 of 100Reported as group
Quality
58.34
Promoting interoperability
0
Improvement activities
0
Cost
78.29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17156NVMDPharmacist
40384TNMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cookeville Regional Medical Group, Inc CurrentSince Sep 24, 2021 Accepting new patients
Bessler MD, PLLC CurrentSince Jul 18, 2017 Accepting new patients
C M Medical Nephrology CurrentSince Jan 1, 2018 Accepting new patients
Kidney Center of Central Georgia, LLC Nephrology CurrentSince Oct 1, 2022 Accepting new patients
Morehouse Healthcare, Inc. Nephrology PastSince Jul 1, 2012 Accepting new patients
Strong Renal Group Nephrology PastSince Jul 1, 1998 Accepting new patients

Locations

657 Hemlock St
Ste 200
Macon, GA 31201
Phone (478) 254-7353

102 E Lake Mead Pkwy
Henderson, NV 89015
Phone (701) 564-2622

10301 Jeffreys St
Henderson, NV 89052
Phone (702) 269-0781

229 N Pecos Rd
Ste 120
Henderson, NV 89074
Phone (631) 793-4531

2930 Siena Heights Dr
Henderson, NV 89052
Phone (702) 726-2000

3001 Saint Rose Pkwy
Henderson, NV 89052
Phone (702) 615-5000

861 Coronado Center Dr
Ste 211
Henderson, NV 89052
Phone 7024078241113

1 Medical Center Blvd
Cookeville, TN 38501
Phone (931) 783-2334

100 W 4th St
Ste 350
Cookeville, TN 38501
Phone (931) 646-2901

140 W 7th St
Cookeville, TN 38501
Phone (931) 783-5582

145 W 4th St
Ste 102
Cookeville, TN 38501
Phone (931) 646-2799

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10383/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/BHCDBA

Organizations & group practices 7

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 2

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": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1912976762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 W 7TH ST",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385011726",
            "telephone_number": "931-783-5582",
            "fax_number": "931-526-6760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 W 4TH ST STE 102",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012476",
            "telephone_number": "931-783-2902",
            "fax_number": "931-783-2219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NZERUE",
        "first_name": "CHIKE",
        "middle_name": "MAGNUS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TN",
            "license": "40384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3336429",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

Verify at the official NPI Registry.