NNAMDI HENRY CHUKWUKA MD
NPI 1053806802
Internal Medicine - Cardiovascular Disease in Brooklyn, NY

Active since June 25, 2018PECOS EnrolledAccepts Medicare Assignment
4802 10TH AVE, BROOKLYN, NY 11219(718) 283-6000 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Nnamdi Henry Chukwuka Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NNAMDI HENRY CHUKWUKA MD (NPI 1053806802) is an individual cardiovascular disease provider in Brooklyn, New York, licensed in Idaho (1481401) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Kootenai Health, and maintains a secondary practice location in Coeur D Alene.

NPPES Registry Identity

NPI1053806802
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameNNAMDI HENRY CHUKWUKACredential: MD
Location Address4802 10TH AVEBrooklyn, NY 11219-2916
Mailing Address4802 10th AveBrooklyn, NY 11219-2916 · (718) 283-6000
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJune 25, 2018
Last NPPES UpdateJuly 1, 2026
NPPES CertifiedJuly 1, 2026
✔ NPI 1053806802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in ID · 1481401
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal Medicine · Clinical Cardiac ElectrophysiologyTaxonomy 207RC0001X · License 1481401 (ID)
4802 10TH AVE, Brooklyn, NY 11219

Secondary Practice Location 1

Location 1700 W Ironwood Dr Ste 320Coeur D Alene, ID 83814-4485 · Phone (208) 625-5250 · Fax (208) 625-5251

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nnamdi Henry Chukwuka Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42554032
PECOS Enrollment IDI20260715001643
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Nnamdi Chukwuka reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatry
2003 KOOTENAI HEALTH WAY
Coeur D Alene, ID 83814
  • Reassigned Medicare billing, Idaho enrollment
  • 472 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Kootenai Health

Acute Care Hospitals · Coeur D'alene, ID
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number130049
Location2003 Kootenai Health WayCoeur D'alene, ID 83814 · Kootenai County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11219 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Legal Medicine
4802 10TH AVE
BROOKLYN, NY 11219
Nurse Practitioner (Psychiatric/Mental Health)
4802 10TH AVE
BROOKLYN, NY 11219
Student in an Organized Health Care Education/Training Program
4802 10TH AVE
BROOKLYN, NY 11219
Student in an Organized Health Care Education/Training Program
4802 10TH AVE
BROOKLYN, NY 11219
Student in an Organized Health Care Education/Training Program
4802 10TH AVE
BROOKLYN, NY 11219
Student in an Organized Health Care Education/Training Program
4802 10TH AVE
BROOKLYN, NY 11219
Nurse Practitioner (Family)
4802 10TH AVE, PRE-TESTING
BROOKLYN, NY 11219
Internal Medicine (Infectious Disease)
4802 10TH AVE
BROOKLYN, NY 11219

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nnamdi Chukwuka's NPI number?

The NPI number for Nnamdi Chukwuka is 1053806802. It was assigned to this individual provider in the NPPES registry on June 25, 2018.

Where is Nnamdi Chukwuka located?

Nnamdi Chukwuka practices at 4802 10th Ave, Brooklyn, NY 11219. The listed phone number is (718) 283-6000.

What is Nnamdi Chukwuka's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Nnamdi Chukwuka enrolled in Medicare?

Yes. Nnamdi Chukwuka is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Nnamdi Chukwuka's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nnamdi Chukwuka reassigns Medicare benefits to Kootenai Health, Inc. (Coeur D Alene, ID). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nnamdi Chukwuka's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nnamdi Chukwuka accept?

Health plans from Ambetter Health, Molina Healthcare, PacificSource Health Plans and Premera Blue Cross Blue Shield of Alaska list Nnamdi Chukwuka as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nnamdi Chukwuka affiliated with any hospitals?

According to CMS data, Nnamdi Chukwuka is affiliated with Kootenai Health.

When was this NPI record last updated?

The NPPES record for Nnamdi Chukwuka was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.