Active NPI
Nnamdi C. Nwaogwugwu, M.D.
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Orlando, FL
National Provider Identifier
1962489864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- ME76735
- Practice address
- 882 S Kirkman Rd
Suite 305
Orlando, FL 32811-2600 - Phone
- (407) 291-3077
- Fax
- (407) 291-3122
- NPI assigned
- Dec 30, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Neuromusculoskeletal Medicine) Physician | 204C00000X | ME76735 | FL | |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | ME76735 | FL | Primary |
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | ME76735 | FL |
Addresses
Primary practice location
882 S Kirkman Rd
Suite 305
Orlando, FL 32811-2600
Mailing address
882 S Kirkman Rd
Ste 305
Orlando, FL 32811-2617
Phone (407) 291-3077
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071101000264 | FL | Practitioner - Physical Medicine and Rehabilitation | 2668569054 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Chicago College of Medicine and Surgery, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
882 S Kirkman Rd
Suite 305
Orlando, FL 32811-2617
Phone (407) 291-3077
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Drew Medical Inc | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GFHDAA/Endpoint/GFHDAA
Organizations & group practices 2
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.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Orlando, FL
- NPI 1205012325
FL
-
- Specialist
- Ocoee, FL
- NPI 1811989296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471219200000",
"number": "1962489864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "882 S KIRKMAN RD",
"address_2": "STE 305",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328112617",
"telephone_number": "407-291-3077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "882 S KIRKMAN RD",
"address_2": "SUITE 305",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328112600",
"telephone_number": "407-291-3077",
"fax_number": "407-291-3122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NWAOGWUGWU",
"first_name": "NNAMDI",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-30",
"last_updated": "2016-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "204C00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine, Sports Medicine",
"state": "FL",
"license": "ME76735",
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "FL",
"license": "ME76735",
"primary": true
},
{
"code": "2081S0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": "FL",
"license": "ME76735",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.