Individual provider Active NPI

Caleb Chinedu Nwosu, DO

  • Family Medicine Physician
  • Chambersburg, PA
National Provider Identifier
1932310778
Registry record updated Jun 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS009983L Issued in PA
Practice address
830 5TH Ave Ste 102
Chambersburg, PA 17201-4224
Phone
(717) 709-7979
Fax
(717) 709-7980
NPI assigned
May 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X OS-009983-L PA
Family Medicine Physician 207Q00000X OS009983L PA Primary

Addresses

Primary practice location

830 5TH Ave Ste 102
Chambersburg, PA 17201-4224

Mailing address

830 5TH Ave Ste 102
Chambersburg, PA 17201-4224
Phone (717) 709-7979

Other practice location 1

1400 Main St
Peckville, PA 18452-2078
Phone (570) 307-7600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20111111000266 PA Practitioner - Family PracticePractitioner - General Practice 8022282995 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS-009983-LPAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Keystone Rural Health Center Current Accepting new patients
Keystone Rural Health Center CurrentSince Jan 26, 2023 Accepting new patients
Keystone Rural Health Center CurrentSince Jan 26, 2023 Accepting new patients
Lancaster Hma Physician Management, LLC Family Medicine Past Accepting new patients
Titusville Area Health Services, Inc. Past Accepting new patients
Titusville Area Health Services, Inc. Family Medicine Past Accepting new patients
Medexpress Urgent Care, PC - Monaca Past Accepting new patients

Locations

111 Chambers Hill Dr
Ste 200
Chambersburg, PA 17201
Phone (717) 709-7900

111 Chambers Hill Dr
Ste 100
Chambersburg, PA 17201
Phone (717) 709-7979

830 5th Ave
Ste 102
Chambersburg, PA 17201
Phone (717) 217-6911

820 5th Ave
Chambersburg, PA 17201
Phone (717) 263-4313

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1932310778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 5TH AVE STE 102",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172014224",
            "telephone_number": "717-709-7979",
            "fax_number": "717-709-7980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 5TH AVE STE 102",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172014224",
            "telephone_number": "717-709-7979",
            "fax_number": "717-709-7980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Main St",
            "address_purpose": "LOCATION",
            "city": "Peckville",
            "state": "PA",
            "postal_code": "184522078",
            "country_code": "US",
            "telephone_number": "570-307-7600",
            "fax_number": "570-383-5594",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NWOSU",
        "first_name": "CALEB",
        "middle_name": "CHINEDU",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PA",
            "license": "OS-009983-L",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS009983L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chambersburg, PA

Sources for this page

Verify at the official NPI Registry.