Individual provider Active NPI

Chidinma Anozie, MD

  • Family Medicine Physician
  • Rio Rancho, NM
National Provider Identifier
1982851192
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD2009-0192 Issued in NM
Practice address
1721 Rio Rancho Blvd SE
Rio Rancho, NM 87124-1570
Phone
(505) 896-8610
NPI assigned
Aug 20, 2008
Last updated
Aug 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD2009-0192 NM Primary
Family Medicine Physician 207Q00000X 125-052105 IL

Addresses

Primary practice location

1721 Rio Rancho Blvd SE
Rio Rancho, NM 87124-1570

Mailing address

PO Box 26028
Albuquerque, NM 87125-6028

Other names 1

  • Chidinma Oguejiofor Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20090814000586 NM Practitioner - Family Practice 5597819235 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optumcare New Mexico LLCGroup PAC ID 9032125810, 69 clinicians

Practice addresses (Care Compare)

1721 Rio Rancho Dr NW
Albuquerque, NM 87105-5904
Phone (505) 896-8600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125-052105ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optumcare New Mexico LLC Family Medicine CurrentSince Aug 3, 2009 Accepting new patients
Optumcare Endoscopy Center New Mexico, LLC Past Accepting new patients

Locations

5150 Journal Center Blvd NE
Fl 3
Albuquerque, NM 87109
Phone (505) 262-3212

1721 Rio Rancho Blvd SE
Rio Rancho, NM 87124
Phone (505) 208-4413

Interoperability endpoints

  • Direct secure messaging: canozie119215@westdirect.optum.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1219190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1982851192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26028",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871256028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 RIO RANCHO BLVD SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241570",
            "telephone_number": "505-896-8610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANOZIE",
        "first_name": "CHIDINMA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-20",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2009-0192",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125-052105",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHIDINMA",
            "last_name": "OGUEJIOFOR",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rio Rancho, NM

Sources for this page

Verify at the official NPI Registry.