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ULUNMA A NWACHUKU MD
NPI 1134327950
Hospitalist in Jacksonville, FL

Active since July 03, 2007PECOS EnrolledAccepts Medicare Assignment
91.62/100
CMS Quality Rating
820 PRUDENTIAL DR STE 320, JACKSONVILLE, FL 32207(904) 202-3860(904) 348-5627 Get Directions Write a Review

NPPES record last updated: July 16, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 16, 2024, Jan 25, 2019, Jul 12, 2017 (3 updates tracked since 2017).

About Ulunma A Nwachuku Md NPPES

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

ULUNMA A NWACHUKU MD (NPI 1134327950) is an individual hospitalist provider in Jacksonville, Florida, licensed in Florida (ME107889) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and is a graduate of Rutgers New Jersey Medical School (2007).

NPPES Registry Identity

NPI1134327950
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameULUNMA A NWACHUKUCredential: MD
Location Address820 PRUDENTIAL DR STE 320Jacksonville, FL 32207-8210
Mailing AddressPo Box 746638Atlanta, GA 30374-6638 · (904) 202-1032 · Fax (904) 376-4107
Phone(904) 202-3860
Fax(904) 348-5627
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 2007
Enumeration DateJuly 3, 2007
Last NPPES UpdateJuly 16, 20243 updates tracked since enumeration
NPPES CertifiedJuly 16, 2024
✔ NPI 1134327950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in FL · ME107889
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License ME107889 (FL)
820 PRUDENTIAL DR STE 320, Jacksonville, FL 32207
Open in Google Maps ↗

Other Identifiers 1

Medicaid002623400FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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

Ulunma A Nwachuku 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 ID4880887363
PECOS Enrollment IDI20101015000797
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 Reassignments

2

Medicare enrollment records show Ulunma Nwachuku reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Baptist Primary Care Inc
Same address
Infectious Disease
820 PRUDENTIAL DR, SUITE 515
Jacksonville, FL 32207
  • Reassigned Medicare billing, Florida enrollment
  • 569 clinicians in this Medicare group
NPI 1588846869 (904) 396-4886
Inpatient Consultants Of Florida, Inc
11 mi
Internal Medicine
2001 KINGSLEY AVE
Orange Park, FL 32073
  • Reassigned Medicare billing, Florida enrollment
  • 903 clinicians in this Medicare group
NPI 1396795597 (954) 377-2909

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 4

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
324 services315 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
157 services154 patients
Initial hospital care with same-day admission and discharge with moderate level of medical decision making, per day, if using time, at least 70 minutes 99235
This service involves a brief hospital stay for a moderate health issue. You'll be admitted and discharged on the same day, typically within 50 minutes. It's a quick, efficient way to receive necessary care and medical attention.
23 services22 patients
Initial hospital care with same-day admission and discharge with straightforward or low level of medical decision making, per day, if using time, at least 45 minutes 99234
Hospital observation or inpatient care is a brief medical service where you're admitted and discharged on the same day. This typically lasts about 40 minutes and is for low severity issues. It involves monitoring your condition, administering necessary treatment, and ensuring your well-being before discharge.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100088
Location800 Prudential DrJacksonville, FL 32207 · Duval County
Emergency services Birthing friendly

Baptist Medical Center - Nassau

Acute Care Hospitals · Fernandina Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100140
Location1250 S 18th StFernandina Beach, FL 32034 · Nassau County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32207 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

91.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.61
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$76.29 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Ulunma Nwachuku's NPI number?

The NPI number for Ulunma Nwachuku is 1134327950. It was assigned to this individual provider in the NPPES registry on July 3, 2007.

Where is Ulunma Nwachuku located?

Ulunma Nwachuku practices at 820 Prudential Dr Ste 320, Jacksonville, FL 32207. The listed phone number is (904) 202-3860.

What is Ulunma Nwachuku's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Ulunma Nwachuku enrolled in Medicare?

Yes. Ulunma Nwachuku 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 organizations bill Medicare for Ulunma Nwachuku's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ulunma Nwachuku reassigns Medicare benefits to 2 organizations: Baptist Primary Care Inc (Jacksonville, FL) and Inpatient Consultants Of Florida, Inc (Orange Park, FL). 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 Ulunma Nwachuku's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ulunma Nwachuku accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Ulunma Nwachuku 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 Ulunma Nwachuku affiliated with any hospitals?

According to CMS data, Ulunma Nwachuku is affiliated with Baptist Health Medical Center - Jacksonville and Baptist Medical Center - Nassau.

When was this NPI record last updated?

The NPPES record for Ulunma Nwachuku was last updated on July 16, 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.