DR. COLLINS C ONWUKA (MD) – Internal Medicine Physician, NPI 1366054009

DR. COLLINS C ONWUKA (MD) is a healthcare provider. based in Waterbury, Connecticut. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 73005 (CT). The NPI Number for DR. COLLINS C ONWUKA (MD) is 1366054009

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. COLLINS C ONWUKA (MD)
NPI
1366054009
Phone
(203) 573-6162
Address
64 ROBBINS ST
Enumeration Date
22 August 2020
Last Update Date
27 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8606461222
Graduation Year
2009 (17 years ago)
PAC ID
3779994876
Group Practice PAC ID
8628104072
Professional Enrollment ID
I20201120002032
Address ID
CT060404131MA71XXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

3,448 INTERNAL MEDICINE in CT

Provider Addresses for DR. COLLINS C ONWUKA (MD)

  • 64 ROBBINS ST

    WATERBURY, CT 067082600

    Phone: (203) 573-6162

    Fax: (203) 573-6707

    Type: Mailing

  • 160 ROBBINS ST

    WATERBURY, CT 067082652

    Phone: (203) 573-7284

    Fax: (203) 573-7031

    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: 2020-11-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20201120002032IInternal MedicineCTTBD

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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2625$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2119$0
View full utilization report →

Insurance plans in this area (ZIP 06708)

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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: 8628104072View full group profile
NameSpecialtyState
Family Practice, Family Practice, HospitalistCT
Physician AssistantPA
-CT
Family PracticeCT
-CT
Family Practice, Hospitalist, Family PracticeMA
Internal Medicine, HospitalistNY
Internal MedicineRI
Nurse PractitionerTX
Internal MedicineTX

Reviews

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Frequently asked questions

Can I cross-check DR. COLLINS C ONWUKA (MD) using NPI 1366054009?
NPI 1366054009 belongs to DR. COLLINS C ONWUKA (MD); compare other details if you need extra assurance.
Is DR. COLLINS C ONWUKA (MD) still an active registrant?
DR. COLLINS C ONWUKA (MD) carries an active NPI according to the public dataset.
What kind of doctor is DR. COLLINS C ONWUKA (MD)?
DR. COLLINS C ONWUKA (MD) is associated with Internal Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is DR. COLLINS C ONWUKA (MD) located near Waterbury?
DR. COLLINS C ONWUKA (MD) currently maps to Waterbury, Connecticut in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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