DR. UZOAMAKA THEODORA NWAOGWUGWU MD
NPI 1003012063
Internal Medicine in Washington, DC


Quality Rating: 84.8 out of 100 score

NPI Status: Active since June 26, 2007

Contact Information

2041 GEORGIA AVENUE NW
WASHINGTON, DC
ZIP 20060
Phone: (202) 865-7677

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  • Individual
  • Female
  • Years of Experience 24
  • Internal Medicine
  • PECOS Enrolled
  • Accepts Medicare Approved Payment
  • Medicare Quality Reporting

About UZOAMAKA NWAOGWUGWU

Uzoamaka Nwaogwugwu is an internist established in Washington, District Of Columbia and her medical specialization is Internal Medicine with more than 24 years of experience. The healthcare provider is registered in the NPI registry with number 1003012063 assigned on June 2007. The practitioner's primary taxonomy code is 207R00000X with license number MD040316 (DC). The provider is registered as an individual and her NPI record was last updated 12 years ago.

NPI
1003012063
Provider Name
DR. UZOAMAKA THEODORA NWAOGWUGWU MD
Other Name
DR. UZOAMAKA THEODORA NWIGWE MD
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
2041 GEORGIA AVENUE NW WASHINGTON, DC 20060
Location Phone
(202) 865-7677
Mailing Address
4700 RIDGELINE TER BOWIE, MD 20720
Mailing Phone
(301) 576-4068
Mailing Fax
Medical School Name
OTHER
Graduation Year
2000
Is Sole Proprietor?
No
Enumeration Date
06-26-2007
Last Update Date
10-05-2012
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An internist like Uzoamaka Nwaogwugwu is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Uzoamaka Nwaogwugwu is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 84.8, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance. The following quality measures were reported for this provider: care plan.

The typical physician office visit costs for Medicare beneficiaries in this area are: $38.79 for a new patient copayment and $30.05 for an established patient copayment.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License No.
MD040316
License State
DC
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

D0068038 (MD)
2390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

 

PECOS Enrollment and Medicare Participation Status

Uzoamaka Nwaogwugwu is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 4587835780

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20110920000370

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Drugs and Nutritional Products

  • Other drugs (O1E)

    Tacrolimus, immediate release, oral, 1 mg (HCPCS:J7507)

    1 DME suppliers used 12 Medicare Claims 3600 Services Paid

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 20060 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $155.19
  • Minimum New Patient Price $68.56
  • Maximum New Patient Price $204.56
  • Average New Patient Copayment $38.79
  • Minimum New Patient Copayment $17.14
  • Maximum New Patient Copayment $51.14

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $120.2
  • Minimum Established Patient Price $21.87
  • Maximum Established Patient Price $167.24
  • Average Established Patient Copayment $30.05
  • Minimum Established Patient Copayment $5.46
  • Maximum Established Patient Copayment $41.81

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 84.8 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 89.27

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 69

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Quality Reporting

The following quality measures meet Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Care Plan 95% 95
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan

Clinician Services

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

  • 178

    Dialysis services (4 or more physician visits per month), patient 20 years of age and older (HCPCS:90960)

  • 95

    Dialysis services (2-3 physician visits per month), patient 20 years of age and older (HCPCS:90961)

  • 27

    Dialysis services (1 physician visit per month), patient 20 years of age and older (HCPCS:90962)

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Uzoamaka Nwaogwugwu is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
HOWARD UNIVERSITY HOSPITAL2041 GEORGIA AVE NW
WASHINGTON, DC 20060
(202) 745-6100Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003012063
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003014012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 4 + 0 + 1 + 2 + 24 = 37
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
40 - 37 = 33

The NPI number 1003012063 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1184881500HOWARD UNIVERSITY HOSPITAL
Organization
General Acute Care Hospital (Critical Access)2041 GEORGIA AVENUE NW HOWARD UNIVERSITY HOSPITAL
WASHINGTON, DC 20060
(202) 865-6100
1881223527 ANISH JAY JAIN MD
Individual
Student in an Organized Health Care Education/Training Program2041 GEORGIA AVENUE NW
WASHINGTON DC, DC 20060
(202) 865-6100
1912529975DR. SNEHA RAO ADIDAM M.D.
Individual
Student in an Organized Health Care Education/Training Program2041 GEORGIA AVENUE NW
WASHINGTON, DC 20060
(202) 865-6100
1447756416DR. SHANNON MARIE WENTWORTH MD
Individual
Obstetrics & Gynecology2041 GEORGIA AVENUE NW FIRST FLOOR, SUITE B
WASHINGTON, DC 20060
(202) 865-6679
1437834173 COURTENAY KADIRA JOYCE CHASE M.D.
Individual
Student in an Organized Health Care Education/Training Program2041 GEORGIA AVENUE NW
WASHINGTON, DC 20060
(202) 865-6100
1225714017MR. ZAIN SYED ASHRAF MD
Individual
Student in an Organized Health Care Education/Training Program2041 GEORGIA AVENUE NW
WASHINGTON, DC 20060
(202) 865-6660
1982381000 KINDHA ELLEISSY NASEF M.D
Individual
Student in an Organized Health Care Education/Training Program2041 GEORGIA AVENUE NW
WASHINGTON, DC 20060
(202) 865-6100
1316701816 JUDE CHUKS NJOKU
Individual
Nurse Practitioner (Adult Health)2041 GEORGIA AVENUE NW SUITE 5101
WASHINGTON, DC 20060
(202) 865-6100

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003012063, enumerated in the NPI registry as an "individual" on June 26, 2007

The provider is located at 2041 Georgia Avenue Nw Washington, Dc 20060 and the phone number is (202) 865-7677

The provider's speciality is Internal Medicine with taxonomy code 207R00000X

The provider has more than 24 years of experience.

Yes, as of April 12, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences.

Medicare beneficiaries should expect a typical cost of $155.19 with an average copayment of $38.79 for new patient appointments. Established patients should expect a typical charge of $120.2 and an average copayment of 30.05. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Dialysis services (4 or more physician visits per month), patient 20 years of age and older, Dialysis services (2-3 physician visits per month), patient 20 years of age and older and Dialysis services (1 physician visit per month), patient 20 years of age and older.

The practitioner is affiliated to the following hospital(s): HOWARD UNIVERSITY HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on June 26, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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