CHISOM DAISY NWACHUKWU (MD) – Internal Medicine Physician, NPI 1164652905

CHISOM DAISY NWACHUKWU (MD) is a healthcare provider. based in Mansfield, Texas. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. P4686 (TX). The NPI Number for CHISOM DAISY NWACHUKWU (MD) is 1164652905

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
CHISOM DAISY NWACHUKWU (MD)
NPI
1164652905
Phone
(682) 622-2000
Address
2700 E BROAD ST
Enumeration Date
14 July 2009
Last Update Date
17 October 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2149477777
Graduation Year
2012 (14 years ago)
PAC ID
5597901835
Group Practice PAC ID
6709049703
Professional Enrollment ID
I20130411000365
Address ID
TX752373460DA3500XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

13,290 INTERNAL MEDICINE in TX

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Provider Addresses for CHISOM DAISY NWACHUKWU (MD)

  • Methodist Mansfield Medical Center, 2700, East Broad Street, Walnut Landing, Mansfield, Tarrant County, Texas, 76063, United States

    MANSFIELD, TX 760635899

    Phone: (682) 622-2000

    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)

CMS reports 13 Open Payments records for all available years, with a total value of $362.

Total Amount is formed as General ($362) + Research ($0) + Ownership ($0) = $362.

Last reported payment date: 2024-08-21 • Largest payer in this snapshot: Shionogi Inc ($122).

Total Amount

$362

General + Research + Ownership

Payments

13

Total payment records

General Amount

$362

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-21

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2013-04-11

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
I20130411000365IInternal MedicineTXTBD

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 minutes21691$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes13467$0
99239Hospital discharge day management, more than 30 minutes6057$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 76063)

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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: 6709049703View full group profile
NameSpecialtyState
Internal MedicineTX
Internal MedicineTX
Nurse PractitionerTX
-WA
Nurse PractitionerTX
Nurse PractitionerTX
-TX
Family PracticeMI
Nurse PractitionerTX
Internal MedicineTX

Reviews

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Frequently asked questions

What is CHISOM DAISY NWACHUKWU (MD)'s NPI number?
CHISOM DAISY NWACHUKWU (MD)'s NPI is 1164652905 — the number used across U.S. healthcare to identify this provider.
Is CHISOM DAISY NWACHUKWU (MD) shown as active in public data?
Registry records indicate CHISOM DAISY NWACHUKWU (MD) maintains an active NPI.
What clinical focus is listed for CHISOM DAISY NWACHUKWU (MD)?
At a glance, CHISOM DAISY NWACHUKWU (MD) is tied to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is CHISOM DAISY NWACHUKWU (MD) associated with Mansfield?
Public fields place CHISOM DAISY NWACHUKWU (MD) around Mansfield, Texas. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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