Uchebike Nnagozie Nwankwo, MD
Individual provider Active NPI Adolescent Medicine (Internal Medicine) Physician · Lowell, MI
NPI 1962690073 · NPPES record last updated Jan 13, 2025
Key facts
- NPI
- 1962690073
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adolescent Medicine (Internal Medicine) Physician 207RA0000X
- License
- 4301098721 (MI)
- Practice address
- 350 N Center St
Lowell, MI 49331-1212 - Phone
- (616) 897-8473
- NPI assigned
- Oct 15, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 13
Owned or controlled facilities with NPI records 2
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Wayne State University School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Theoria Medical
Complexcare Medical Group Midwest H PLLC
Practice addresses (Care Compare)
1330 Grand Pointe CT
Grand Blanc, MI 48439-5502
Phone (810) 695-8920
2320 E Beltline Ave SE
Grand Rapids, MI 49546-5906
Phone (616) 949-3000
Hospital & facility affiliations
- Corewell Health Hospice & Palliative Care - West Michigan
- Gentiva I
- Centrica Care Navigators
- Faith Hospice at Trillium Woods
- Marshfield Medical Center
- Schoolcraft Memorial Hospital
- Borgess Medical Center
- Beacon Plainwell
- Optalis Health and Rehabilitation of Kingsford
- Optalis Health & Rehabilitation at Kent-Crossing
- Schoolcraft Medical Care Facility
- Life Care Center of Plainwell
- Harbor Post Acute Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Schoolcraft Medical Care Facility |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
May 5, 2025 Dec 31, 2025 |
| Harbor Terrace Senior Living |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Oct 14, 2024 Jul 21, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110725000227 | MI | Practitioner - Internal Medicine |
7719155498 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57013082 | OH | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Complexcare Medical Group Midwest H PLLC | Internal Medicine | Current |
Accepting new patients |
| Advantage Health Saint Mary'S Medical Group | Current |
Accepting new patients | |
| Advantage Health/Saint Mary'S Medical Group | Current |
Accepting new patients | |
| Advantage Health/Saint Mary'S Medical Group | Current | Accepting new patients | |
| Theoria Medical | Internal Medicine | Current |
Accepting new patients |
| Westwood Opco, LLC | Past | Accepting new patients | |
| Grand Rapids SNF, LLC | Past | Accepting new patients | |
| Optalis Beltline Opco, LLC | Past | Accepting new patients | |
| Laurel Health Care Company of Lowell | Past | Accepting new patients | |
| Allegan Care Operating Co LLC | Past | Accepting new patients | |
| Optalis Kingsford Opco LLC | Past | Accepting new patients | |
| Schoolcraft Medical Care Facility | Past | Accepting new patients | |
| Healthbridge LLC | Past | Accepting new patients | |
| Plainwell Operations, LLC | Past | Accepting new patients | |
| Theoria Medical | Internal Medicine | Past | Accepting new patients |
Locations
2373 64th St SW
Ste 1300
Byron Center, MI 49315
Phone (616) 685-1350
10047 Crossroad Ct SE
Caledonia, MI 49316
Phone (616) 685-8850
5655 Clarkston Rd
Clarkston, MI 48348
Phone (810) 623-5216
6700 W Outer Dr
Detroit, MI 48235
Phone (313) 836-1700
1330 Grand Pointe Ct
Grand Blanc, MI 48439
Phone (810) 344-3518
3139 E Baldwin Rd
Grand Blanc, MI 48439
Phone (810) 445-5300
2320 E Beltline Ave SE
Grand Rapids, MI 49546
Phone (616) 949-3000
245 State St SE
Ste 228
Grand Rapids, MI 49503
245 State St SE
Ste 1A
Grand Rapids, MI 49503
1900 44th St SE
Kentwood, MI 49508
Phone (616) 685-8500
350 N Center St
Lowell, MI 49331
Phone (616) 894-8473
520 Main St
Manistique, MI 49854
Phone (906) 341-6921
41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763
320 Brigham St
Plainwell, MI 49080
Phone (269) 685-9805
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent Medicine (Internal Medicine) Physician | 207RA0000X | 4301098721 | MI | Yes |
| Pediatrics Physician | 208000000X | 57013082 | OH | |
| Internal Medicine Physician | 207R00000X | 57013082 | OH |
Addresses
Primary practice location
350 N Center St
Lowell, MI 49331-1212
Mailing address
41800 W 11 Mile Rd Ste 109
Novi, MI 48375-1818
Phone (248) 660-1220
Other providers in Lowell, MI
- Barbara Mutchler
- Cassandra Nanninga
- Marcie D Nellist-Johnson
- Rachel Neve
- Karen M Noreen
- Kenley Oosterhouse
- Diana M Painter
- Amanda Partlo
- Marissa Peak
- Stephanie B. Peel
All providers in Lowell, MI · Adolescent Medicine (Internal Medicine) Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.