Individual provider Active NPI

Ikenna Ben Nwachuku, MD

  • Orthopaedic Surgery of the Spine Physician
  • Glendale, CA
National Provider Identifier
1962961805
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
A181903 Issued in CA
Practice address
1500 E Chevy Chase Dr Ste 204
Glendale, CA 91206-4199
Phone
(818) 827-3897
NPI assigned
Mar 19, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X A181903 CA Primary
Orthopaedic Surgery Physician 207X00000X A181903 CA

Addresses

Primary practice location

1500 E Chevy Chase Dr Ste 204
Glendale, CA 91206-4199

Mailing address

1500 E Chevy Chase Dr Ste 204
Glendale, CA 91206-4199
Phone (818) 827-3898

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20250915003792 CA Practitioner - Orthopedic Surgery 7315365392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Loma Linda University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Badr Medical CorporationGroup PAC ID 4183855083, 5 clinicians

Practice addresses (Care Compare)

1500 E Chevy Chase Dr
Suite 204
Glendale, CA 91206-4152
Phone (818) 827-3898

Hospital & facility affiliations

  • Glendale Adventist Medical Center Hospital, Glendale, CA, CCN 050239
  • Glendale Mem Hospital & HLTH Center Hospital, Glendale, CA, CCN 050058

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion81
Laminectomy or laminotomy (partial removal of spine bones)61
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A181903CAMDOrthopaedic Surgery of the Spine Physician

Practice roles (1 of 2)

OrganizationSpecialtyStatusNew patients
Badr Medical Corporation CurrentSince Aug 1, 2025 Accepting new patients

Locations

1500 E Chevy Chase Dr
Ste 204
Glendale, CA 91206
Phone (818) 243-1501

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1962961805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E CHEVY CHASE DR STE 204",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064199",
            "telephone_number": "818-827-3898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E CHEVY CHASE DR STE 204",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064199",
            "telephone_number": "818-827-3897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWACHUKU",
        "first_name": "IKENNA",
        "middle_name": "BEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-19",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "CA",
            "license": "A181903",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A181903",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.