DR. CHIJIOKE NNANNA EGBUJO (MD) – Psychiatry Physician, NPI 1164601548

DR. CHIJIOKE NNANNA EGBUJO (MD) is a healthcare provider. based in Willimantic, Connecticut. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. MD19249 (RI). The NPI Number for DR. CHIJIOKE NNANNA EGBUJO (MD) is 1164601548

Main info

Male
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHIJIOKE NNANNA EGBUJO (MD)
NPI
1164601548
Phone
(860) 456-9116
Address
112 Mansfield Ave
Enumeration Date
1 November 2007
Last Update Date
17 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8606461222
Graduation Year
2000 (26 years ago)
PAC ID
9830484005
Group Practice PAC ID
9234423625
Professional Enrollment ID
I20191003000663
Address ID
CT060404131MA71XXXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness85
Years active:18State licenses:3Digital endpointsOther names

851 PSYCHIATRY in CT

Provider Addresses for DR. CHIJIOKE NNANNA EGBUJO (MD)

  • 112 Mansfield Ave

    Willimantic, CT 062262045

    Phone: (860) 456-9116

    Type: Location

  • University of Connecticut Health Center, 263, Farmington Avenue, Farmington, Hartford County, Connecticut, 06030, United States

    FARMINGTON, CT 060308082

    Phone: (860) 679-6700

    Fax: (860) 679-6736

    Type: Location

  • 593 Eddy St

    Providence, RI 029034923

    Phone: (401) 444-8078

    Type: Location

  • One Royce Circle

    Storrs, CT 06268

    Phone: (860) 679-6700

    Fax: (860) 679-6736

    Type: Location

  • 10 Talcott Notch

    Farmington, CT 06032

    Phone: (860) 679-6700

    Fax: (860) 679-6736

    Type: Location

  • 263 Farmington Avenue

    Farmington, CT 060308082

    Phone: (860) 679-6700

    Fax: (860) 679-6736

    Type: Location

  • 125 S 31st St

    Philadelphia, PA 191043413

    Phone: (215) 746-0664

    Type: Location

  • 760 HOPMEADOW ST

    SIMSBURY, CT 060702257

    Phone: (860) 264-5673

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-07-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160826001276IPsychiatryPATBD
I20191003000663IPsychiatryCTTBD
I20201203002145IPsychiatryNYTBD
I20230705001711IPsychiatryRITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes8717$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes5515$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 06226)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9234423625View full group profile
NameSpecialtyState
Clinical Social WorkerCT
Nurse PractitionerCT
-CT
-CT
P S Y C H I A T R YCT
-CT
Nurse PractitionerMS
P S Y C H I A T R YCT
Nurse PractitionerTX
Mental Health CounselorCT

Reviews

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Frequently asked questions

Is there an official ID for DR. CHIJIOKE NNANNA EGBUJO (MD) in U.S. healthcare records?
The official identifier for DR. CHIJIOKE NNANNA EGBUJO (MD) is NPI 1164601548.
Is there an active status for DR. CHIJIOKE NNANNA EGBUJO (MD)?
For scheduling context, DR. CHIJIOKE NNANNA EGBUJO (MD) is shown as active in the registry.
What clinical focus is listed for DR. CHIJIOKE NNANNA EGBUJO (MD)?
At a glance, DR. CHIJIOKE NNANNA EGBUJO (MD) is tied to Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Where in Connecticut is DR. CHIJIOKE NNANNA EGBUJO (MD) registered?
Use Willimantic, Connecticut as the headline location for DR. CHIJIOKE NNANNA EGBUJO (MD) here.
Does DR. CHIJIOKE NNANNA EGBUJO (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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