Individual provider Active NPI

Nnamdi C. Nwaogwugwu, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Orlando, FL
National Provider Identifier
1962489864
Registry record updated Aug 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
ME76735 Issued in FL
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

Updated by the provider on Aug 15, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
Drew Medical Inc Past Accepting new patients

Interoperability endpoints

  • FHIR API: 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.

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

Verify at the official NPI Registry.