NPIMap

Individual provider Active NPI

Chukwuemeka Ogbonnaya Chima, MD

  • Infectious Disease Physician
  • Fayetteville, NC
National Provider Identifier
1962494377
Registry record updated Feb 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
200300130 Issued in NC
Practice address
1774 Metromedical Dr
Fayetteville, NC 28304-3861
Phone
(910) 568-3903
Fax
(910) 568-3908
NPI assigned
Aug 22, 2005
Last updated
Feb 8, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 200300130 NC Primary

Addresses

Primary practice location

1774 Metromedical Dr
Fayetteville, NC 28304-3861

Mailing address

PO Box 53665
Fayetteville, NC 28305-3665
Phone (910) 568-3903

Other identifiers 1

IdentifierTypeStateIssuer
89134G8MedicaidNC

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
I20031229000888 NC Practitioner - Infectious DiseasePractitioner - Internal Medicine 0648178640 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1774 Metromedical Dr
Fayetteville, NC 28304-3861
Phone (910) 568-3903

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
87.84
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200300130NCMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cid PA Infectious Disease CurrentSince May 1, 2009 Accepting new patients
Fayetteville Plastic Surgery Specialists, PA PastSince May 1, 2009 Accepting new patients
Valley Infectious Disease Care Infectious Disease PastSince Nov 5, 2009 Accepting new patients
Cumberland County Hospital System Inc PastSince Dec 1, 2022 Accepting new patients

Locations

1774 Metromedical Dr
Fayetteville, NC 28304
Phone (910) 323-1203

Ownership & related parties

All facility ownership & control disclosures 8

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Cape Fear Valley - Bladen County HospitalElizabethtown, NC, CCN 34Z315 Hospital Corporate Officer
Operational/Managerial Control		 Jul 29, 2022
Jul 29, 2022
Cape Fear Valley Hoke HospitalRaeford, NC, CCN 340188 Hospital Corporate Officer
Operational/Managerial Control		 Aug 3, 2022
Aug 3, 2022
Southeastern Regional Rehabilitation CenterFayetteville, NC, CCN 34T028 Hospital Corporate Director Dec 1, 2022
Bladen Healthcare LLCDublin, NC, CCN 343444 Rural health clinic Corporate Officer
Operational/Managerial Control		 Jul 29, 2022
Jul 29, 2022
CFV Bma ElizabethtownElizabethtown, NC, CCN 343445 Rural health clinic Corporate Officer
Corporate Director
Operational/Managerial Control		 Dec 1, 2022
Dec 1, 2022
Dec 1, 2022
CFV Bma Express CareElizabethtown, NC, CCN 343449 Rural health clinic Corporate Officer
Operational/Managerial Control		 Jul 29, 2022
Jul 29, 2022
Cape Fear Valley Bladen Medical AssociatesClarkton, NC, CCN 343464 Rural health clinic Corporate Officer
Operational/Managerial Control		 Aug 5, 2022
Aug 5, 2022
CFV Primary Care-Vineland Family MedicineWhiteville, NC, CCN 343477 Rural health clinic Corporate Officer
Corporate Director		 Dec 1, 2022
Dec 1, 2022

Owned or controlled facilities with NPI records 8

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Bladen Healthcare LLC

    dba Cape Fear Valley BMA Clarkton

    • Rural Health Clinic/Center
    • Clarkton, NC
    • NPI 1043759335

    Corporate Officer, Operational/Managerial Control

    CMS ownership
  • Bladen Healthcare LLC

    dba Bladen Express Care

    • Rural Health Clinic/Center
    • Elizabethtown, NC
    • NPI 1114269677

    Corporate Officer, Operational/Managerial Control

    CMS ownership
  • Bladen Healthcare LLC

    dba CFV Bladen County Hospital-Swing Bed Unit

    • Critical Access Hospital
    • Elizabethtown, NC
    • NPI 1548436272

    Corporate Officer, Operational/Managerial Control

    CMS ownership
  • Bladen Healthcare LLC

    dba CFV Primary Care-Vineland Family Medicine

    • Rural Health Clinic/Center
    • Whiteville, NC
    • NPI 1821764390

    Corporate Director, Corporate Officer

    CMS ownership
  • Bladen Healthcare, LLC

    dba Cape Fear Valley BMA Dublin

    • Rural Health Clinic/Center
    • Dublin, NC
    • NPI 1114193695

    Corporate Officer, Operational/Managerial Control

    CMS ownership
  • Bladen Healthcare, LLC

    dba Cape Fear Valley BMA Elizabethtown

    • Rural Health Clinic/Center
    • Elizabethtown, NC
    • NPI 1255507737

    Corporate Director, Corporate Officer, Operational/Managerial Control

    CMS ownership
  • Cumberland County Hospital System Inc

    dba Southeastern Regional Rehabilitation Center

    • Rehabilitation Hospital Unit
    • Fayetteville, NC
    • NPI 1821091851

    Corporate Director

    CMS ownership
  • Hoke Healthcare LLC

    dba Cape Fear Valley Hoke Hospital

    • General Acute Care Hospital
    • Raeford, NC
    • NPI 1750788238

    Corporate Officer, Operational/Managerial Control

    CMS ownership

Organizations & group practices 4

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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360281600000",
    "number": "1962494377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 53665",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283053665",
            "telephone_number": "910-568-3903",
            "fax_number": "910-568-3908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1774 METROMEDICAL DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043861",
            "telephone_number": "910-568-3903",
            "fax_number": "910-568-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIMA",
        "first_name": "CHUKWUEMEKA",
        "middle_name": "OGBONNAYA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2013-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NC",
            "license": "200300130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89134G8",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.