MRS. THEODORA CHUKWUDI FNP
NPI 1063005403
Nurse Practitioner - Family in Allen Park, MI
About Mrs. Theodora Chukwudi Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. THEODORA CHUKWUDI FNP (NPI 1063005403) is an individual family provider in Allen Park, Michigan, licensed in Michigan (4704249499) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Theodora Chukwudi Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
5Medicare enrollment records show Theodora Chukwudi reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Taylor, MI 48180
- Reassigned Medicare billing, Michigan enrollment
- 451 clinicians in this Medicare group
Novi, MI 48375
- Reassigned Medicare billing, Michigan enrollment
- 383 clinicians in this Medicare group
Iron River, MI 49935
- Reassigned Medicare billing, Michigan enrollment
- 34 clinicians in this Medicare group
Durham, NC 27701
- Reassigned Medicare billing, Michigan enrollment
- 83 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Michigan enrollment
- 666 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48101 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ALLEN PARK, MI 48101
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 Theodora Chukwudi's NPI number?
The NPI number for Theodora Chukwudi is 1063005403. It was assigned to this individual provider in the NPPES registry on February 17, 2021.
Where is Theodora Chukwudi located?
Theodora Chukwudi practices at 7445 Allen Rd Ste 270, Allen Park, MI 48101. The listed phone number is (313) 920-6546.
What is Theodora Chukwudi's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Theodora Chukwudi enrolled in Medicare?
Yes. Theodora Chukwudi is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Theodora Chukwudi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Theodora Chukwudi reassigns Medicare benefits to 5 organizations: Downriver Mental Health Clinic PC (Taylor, MI), Theoria Medical (Novi, MI), Supportive Care I Of Michigan PC (Iron River, MI), Mental Health Specialty Group PA (Durham, NC) and Signify Health Medical Associates, PLLC (Dallas, TX). Each 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 Theodora Chukwudi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Theodora Chukwudi accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Theodora Chukwudi 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.
When was this NPI record last updated?
The NPPES record for Theodora Chukwudi was last updated on June 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Mrs. Theodora Chukwudi, FNP · NPI 1063005403
Family physician in Allen Park, Michigan. Individual provider, active in the CMS NPPES registry since February 17, 2021.
## Identity
- **NPI:** 1063005403 (Entity type: Individual)
- **Enumerated:** February 17, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 4704249499 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 7445 ALLEN RD STE 270, Allen Park, MI 48101-1963
- **Phone:** (313) 920-6546 · **Fax:** (313) 949-5793
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Downriver Mental Health Clinic PC (NPI 1104930130, Taylor, MI); Theoria Medical (NPI 1609362375, Novi, MI); Supportive Care I Of Michigan PC (NPI 1548995608, Iron River, MI); Mental Health Specialty Group PA (NPI 1801472634, Durham, NC); Signify Health Medical Associates, PLLC (NPI 1750845863, Dallas, TX) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 17, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1063005403) · Data from the CMS NPPES public registry.