ONYEOZIRI RAPHAEL NWANGUMA (M.D.) – Surgery Physician, NPI 1982864344

ONYEOZIRI RAPHAEL NWANGUMA (M.D.) is a healthcare provider. based in Bowling green, Kentucky. specializing in GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. MT049539T (PA). The NPI Number for ONYEOZIRI RAPHAEL NWANGUMA (M.D.) is 1982864344

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
ONYEOZIRI RAPHAEL NWANGUMA (M.D.)
NPI
1982864344
Phone
(717) 531-8521
Address
825 SECOND AVENUE EAST
Enumeration Date
10 June 2008
Last Update Date
1 June 2017

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2707817178
Graduation Year
2001 (25 years ago)
PAC ID
9032387766
Group Practice PAC ID
5496667628
Professional Enrollment ID
I20120824000131
Address ID
KY421011760BO250XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:18State licenses:2Digital endpointsOther names

539 GENERAL SURGERY in KY

Provider Addresses for ONYEOZIRI RAPHAEL NWANGUMA (M.D.)

  • 825 SECOND AVENUE EAST

    SUITE A4

    BOWLING GREEN, KY 421011789

    Phone: (717) 531-8521

    Mailing address matches the actual address.

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: 2012-08-24

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
I20120824000131IGeneral SurgeryKYTBD

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
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope1313$0
99204New patient office or other outpatient visit, 45-59 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 42101)

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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: 5496667628View full group profile
NameSpecialtyState
Internal MedicineOH
Internal MedicineWI
H O S P I T A L I S TMD
Nurse PractitionerKY
O B S T E T R I C S/ G Y N E C O L O G YKY
Certified Registered Nurse Anesthetist (Crna)KY
Internal MedicineKY
Nurse PractitionerKY
Nurse PractitionerKY
Internal MedicineIN

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Frequently asked questions

What is the standard ID for ONYEOZIRI RAPHAEL NWANGUMA (M.D.) in the U.S.?
In the U.S., ONYEOZIRI RAPHAEL NWANGUMA (M.D.) is identified by NPI 1982864344.
Is ONYEOZIRI RAPHAEL NWANGUMA (M.D.)'s NPI status active today?
Active status means ONYEOZIRI RAPHAEL NWANGUMA (M.D.)'s NPI record is not deactivated in the public file.
What services align with ONYEOZIRI RAPHAEL NWANGUMA (M.D.)'s listing?
ONYEOZIRI RAPHAEL NWANGUMA (M.D.)'s public classification highlights Surgery Physician. Clinical services aligned with this taxonomy classification.
What city is tied to ONYEOZIRI RAPHAEL NWANGUMA (M.D.)?
The directory associates ONYEOZIRI RAPHAEL NWANGUMA (M.D.) with Bowling Green, Kentucky. Check all listed addresses for suites or satellite offices.
Can I export ONYEOZIRI RAPHAEL NWANGUMA (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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