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 and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Theodora Chukwudi Fnp 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.
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
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 4 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 (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** June 17, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1063005403) · Data from the CMS NPPES public registry.