DR. CHINEDU O NWACHUKWU (MD) – Nephrology Physician, NPI 1205312253

DR. CHINEDU O NWACHUKWU (MD) is a healthcare provider. based in Lawton, Oklahoma. specializing in NEPHROLOGY. They hold the professional credentials MD. They hold a License No. 40552 (OK). The NPI Number for DR. CHINEDU O NWACHUKWU (MD) is 1205312253

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHINEDU O NWACHUKWU (MD)
NPI
1205312253
Phone
(580) 699-5400
Address
4417 W GORE BLVD STE 3
Enumeration Date
12 July 2018
Last Update Date
20 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9722745555
Graduation Year
2018 (8 years ago)
PAC ID
9436551660
Group Practice PAC ID
0244277283
Professional Enrollment ID
I20230629004221
Address ID
OK735055978LA4417XBLVD401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

473 NEPHROLOGY in NJ

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Provider Addresses for DR. CHINEDU O NWACHUKWU (MD)

  • 4417 W GORE BLVD STE 3

    LAWTON, OK 735055978

    Phone: (580) 699-5400

    Type: Mailing

  • 364 WILLIAMSON ST APT B4

    ELIZABETH, NJ 072023654

    Phone: (732) 812-1854

    Type: Mailing

  • Trinitas Regional Medical Center Williamson Campus, 225, Williamson Street, Elizabeth, Union County, New Jersey, 07202, United States

    ELIZABETH, NJ 072023625

    Phone: (908) 994-5420

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 40 Open Payments records for all available years, with a total value of $840.

Total Amount is formed as General ($840) + Research ($0) + Ownership ($0) = $840.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($383).

Total Amount

$840

General + Research + Ownership

Payments

40

Total payment records

General Amount

$840

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2023-06-29

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
I20230629004221INephrologyOKTBD

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 minutes26091$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes6766$0
99204New patient office or other outpatient visit, 45-59 minutes5959$0
99214Established patient office or other outpatient visit, 30-39 minutes5245$0
90935Hemodialysis procedure with physician evaluation5135$0
View full utilization report →

Insurance plans in this area (ZIP 73505)

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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: 0244277283View full group profile
NameSpecialtyState
-TX
N E P H R O L O G YKS
Physician AssistantUT
Nephrology, Internal MedicinePA
Nurse PractitionerTX
Internal Medicine, NephrologyTX
Nephrology, Internal MedicineTX
N E P H R O L O G YTX
N E P H R O L O G YNY
Nephrology, Internal MedicineTX

Reviews

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Frequently asked questions

What is the registry number for DR. CHINEDU O NWACHUKWU (MD)?
The registry entry for DR. CHINEDU O NWACHUKWU (MD) shows NPI 1205312253.
Quick check: is DR. CHINEDU O NWACHUKWU (MD) active?
Public NPPES data shows DR. CHINEDU O NWACHUKWU (MD) with an active NPI status right now.
What type of care does DR. CHINEDU O NWACHUKWU (MD) provide?
DR. CHINEDU O NWACHUKWU (MD)'s profile centers on Nephrology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. CHINEDU O NWACHUKWU (MD) in Lawton, Oklahoma?
For routing, start with Lawton, Oklahoma for DR. CHINEDU O NWACHUKWU (MD), then verify phone and hours locally.
Why is information missing for DR. CHINEDU O NWACHUKWU (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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