CHINEDU IFEJIAGWA (MD) – Student in an Organized Health Care Education/Training Program, NPI 1124550819

CHINEDU IFEJIAGWA (MD) is a healthcare provider. based in Jackson, Mississippi. specializing in FAMILY PRACTICE. They hold the professional credentials MD. The NPI Number for CHINEDU IFEJIAGWA (MD) is 1124550819

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
CHINEDU IFEJIAGWA (MD)
NPI
1124550819
Phone
(601) 984-6800
Address
764 LAKELAND DR
Enumeration Date
31 March 2017
Last Update Date
1 June 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6417921273
Graduation Year
2015 (11 years ago)
PAC ID
6901229608
Group Practice PAC ID
0143549634
Professional Enrollment ID
I20210819000659
Address ID
IA502083135NE204XXEXXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:9State licenses:0Digital endpointsOther names

939 FAMILY PRACTICE in MS

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Provider Addresses for CHINEDU IFEJIAGWA (MD)

  • 764, Lakeland Drive, Woodland Hills, Jackson, Hinds County, Mississippi, 39216, United States

    JACKSON, MS 392164651

    Phone: (601) 984-6800

    Fax: (601) 984-6811

    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: 2021-08-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20200714002574IFamily PracticeMSTBD
I20210819000659IFamily PracticeIATBD

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
99285Emergency department visit with high level of medical decision making196177$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only125109$0
99284Emergency department visit with moderate level of medical decision making124118$0
99283Emergency department visit with low level of medical decision making3333$0
View full utilization report →

Insurance plans in this area (ZIP 39216)

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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: 0143549634View full group profile
NameSpecialtyState
Emergency MedicineIA
-IA
-IA
Emergency MedicineIA
Emergency Medicine, General PracticeOH
Emergency MedicineNJ
Emergency MedicineIA
-OK
Emergency MedicineAZ
Emergency MedicineIA

Reviews

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Frequently asked questions

What number should I use to identify CHINEDU IFEJIAGWA (MD) for billing?
Administrative and clinical systems typically use NPI 1124550819 for CHINEDU IFEJIAGWA (MD).
Does the public listing show CHINEDU IFEJIAGWA (MD) as active?
CHINEDU IFEJIAGWA (MD)'s NPI record reflects an active status in NPPES.
How should patients interpret CHINEDU IFEJIAGWA (MD)'s specialty?
The extract shows Student in an Organized Health Care Education/Training Program for CHINEDU IFEJIAGWA (MD). Clinical services aligned with this taxonomy classification.
What city is tied to CHINEDU IFEJIAGWA (MD)?
The directory associates CHINEDU IFEJIAGWA (MD) with Jackson, Mississippi. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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