Individual provider Active NPI

Chiedu Charles Onunkwo, M.D.

  • Infectious Disease Physician
  • South Bend, IN
National Provider Identifier
1992752018
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
01060521A Issued in IN
Practice address
621 Memorial Dr Ste 624
South Bend, IN 46601-1063
Phone
(574) 647-8177
Fax
(574) 647-8536
NPI assigned
May 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01060521A IN
Infectious Disease Physician 207RI0200X 01060521A IN Primary

Addresses

Primary practice location

621 Memorial Dr Ste 624
South Bend, IN 46601-1063

Mailing address

710 N Niles Ave
South Bend, IN 46617-1924
Phone (574) 647-1610

Other practice location 1

500 Arcade Ave Ste 210
Elkhart, IN 46514-2485
Phone (574) 389-5656

Other practice location 2

5314 Lincolnway E
Mishawaka, IN 46544-4249
Phone (574) 256-9032

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ONUNKWO@mybeacon.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, IN2 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

Enrollment IDStateProvider typePAC IDDetails
I20160914000901 GA Practitioner - Infectious Disease 8325066988 Reassigns benefits to 1 organization
I20170721000181 IN Practitioner - Infectious DiseasePractitioner - Internal Medicine 8325066988 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beacon Medical Group IncGroup PAC ID 1254243306, 575 clinicians

Practice addresses (Care Compare)

500 Arcade Ave
Elkhart, IN 46514-2485

600 E Blvd
Elkhart, IN 46514-2483

600 E Blvd 4TH FL Hospitalists
BMG Hospital Specialties
Elkhart, IN 46514-2483
Phone (574) 647-3050

6913 N Main St
Granger, IN 46530-8039

900 I St
La Porte, IN 46350-5533
Phone (219) 324-1700

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Medical Group, Inc. Internal Medicine CurrentSince Aug 28, 2017 Accepting new patients
Beacon Medical Group Inc CurrentSince Aug 28, 2017 Accepting new patients
Beacon Medical Group, Inc. Current Accepting new patients
City of Hope Medical Group of Georgia LLC Internal Medicine CurrentSince Aug 1, 2016 Accepting new patients
Beacon Medical Group, Inc. Past Accepting new patients

Locations

600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334

62742 Collections Ctr Dr
Chicago, IL 60693

500 Arcade Ave
Ste 210
Elkhart, IN 46514
Phone (574) 389-5656

6913 N Main St
Granger, IN 46530
Phone (574) 647-1500

3245 Health Dr
Ste 100
Granger, IN 46530
Phone (574) 647-2129

900 I St
Laporte, IN 46350
Phone (219) 324-1670

5314 Lincolnway E
Mishawaka, IN 46544
Phone (574) 256-9032

710 N Niles Ave
South Bend, IN 46617
Phone (574) 647-1610

621 Memorial Dr
Ste 624
South Bend, IN 46601
Phone (574) 282-2708

615 N Michigan St
Fl 1
South Bend, IN 46601
Phone (574) 647-1100

Interoperability endpoints

  • Direct secure messaging: onunkwo@mybeacon.cernerdirect.com

Organizations & group practices 5

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 6

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": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1992752018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 N NILES AVE",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466171924",
            "telephone_number": "574-647-1610",
            "fax_number": "574-237-6069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 MEMORIAL DR STE 624",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466011063",
            "telephone_number": "574-647-8177",
            "fax_number": "574-647-8536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Arcade Ave Ste 210",
            "address_purpose": "LOCATION",
            "city": "Elkhart",
            "state": "IN",
            "postal_code": "465142485",
            "country_code": "US",
            "telephone_number": "574-389-5656",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5314 Lincolnway E",
            "address_purpose": "LOCATION",
            "city": "Mishawaka",
            "state": "IN",
            "postal_code": "465444249",
            "country_code": "US",
            "telephone_number": "574-256-9032",
            "fax_number": "574-256-9049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ONUNKWO",
        "first_name": "CHIEDU",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01060521A",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "IN",
            "license": "01060521A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ONUNKWO@mybeacon.cernerdirect.com",
            "affiliation": "N",
            "address_1": "5314 Lincolnway E",
            "city": "Mishawaka",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465444249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

Verify at the official NPI Registry.