Nkiruka Chukudebelu, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

D83776 Issued in MD

Practice address

1132 Annapolis Rd Ste 201
Odenton, MD 21113-1673

Phone

(410) 874-1400

NPI assigned

Jun 4, 2014

Last updated

Jul 6, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499299200000",
    "number": "1992118194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17038 AMITY DR",
            "city": "DERWOOD",
            "state": "MD",
            "postal_code": "208552578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1132 ANNAPOLIS RD STE 201",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211131673",
            "telephone_number": "410-874-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUKUDEBELU",
        "first_name": "NKIRUKA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-04",
        "last_updated": "2017-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D83776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chesapeake Smiles
• Chesapeake Smiles, LLC
• Franka Momoh Chiafie
• Children's Dentistry at Odenton
• Freddy Chinchilla
• Glenn Robert Chumley
• Stephanie Carole Chupein, MED LICENSED MARRIAG
• Zoe Ciboroski
• Lindsay T Ciocco, O.D.
• Mariah Clark

• Pediatrics Physician in Odenton, MD
• Providers in Odenton, MD by specialty
• Pediatrics Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.