Onyeoziri Raphael Nwanguma, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

45330 Issued in KY

Practice address

825 Second Avenue East
Suite A4
Bowling Green, KY 42101-1789

Phone

(717) 531-8521

NPI assigned

Jun 10, 2008

Last updated

Jun 1, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

General Surgery

Education

Temple University School of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Commonwealth Health Corporation, Inc.Group PAC ID 5496667628, 268 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Medical Center (Bowling Green) Hospital, Bowling Green, KY, CCN 180013

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Commonwealth Health Corporation, Inc

  dba Med Center Health Neurology

  • Neurology Physician
  • Bowling Green, KY
  • NPI 1881109304
  Medicare reassignment Care Compare group NPD
• Commonwealth Health Corporation, Inc.

  dba Med Center Health Plastic & Reconstructive Surgery

  • Plastic and Reconstructive Surgery Physician
  • Bowling Green, KY
  • NPI 1104470699
  NPD
• Commonwealth Health Corporation, Inc.

  dba The Medical Center Weight Loss Program

  • Surgery Physician
  • Bowling Green, KY
  • NPI 1144504895
  NPD
• Commonwealth Health Corporation

  dba SMP Physicians

  • Family Medicine Physician
  • Scottsville, KY
  • NPI 1508899089
  NPD (past)

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

• Bowling Green-Warren County Community Hospital Corporation

  dba The Medical Center

  • General Acute Care Hospital
  • Bowling Green, KY
  • NPI 1043293608
  Care Compare affiliation

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496275200000",
    "number": "1982864344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 SECOND AVENUE EAST",
            "address_2": "SUITE A4",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011789",
            "telephone_number": "270-796-6333",
            "fax_number": "270-780-2793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 SECOND AVENUE EAST",
            "address_2": "SUITE A4",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011789",
            "telephone_number": "717-531-8521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWANGUMA",
        "first_name": "ONYEOZIRI",
        "middle_name": "RAPHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-10",
        "last_updated": "2017-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MT049539T",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "45330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100221340",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jerry Nunn
• Nurture and Light Counseling, LLC
• Nurtured Counseling
• Elizabeth Nushart
• Nutrition Coaching With Emilie (Nutrition at Home)
• Dennis Michael O'Keefe, M.D.
• Shane Damien O'Keeffe, MD
• Oak Haven Psychiatry, LLC
• Oak Tree Eye Clinic 2, Inc (Mayes and Ware Eyecare)
• Janie Oaks

• Surgery Physician in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Surgery Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.