QUEENDALEEN C CHUKWURAH MD
NPI 1295318756
Student in an Organized Health Care Education/Training Program in Fairhope, AL
About Queendaleen C Chukwurah Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
QUEENDALEEN C CHUKWURAH MD (NPI 1295318756) is an individual student in an organized health care education/training program in Fairhope, Alabama and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, is affiliated with Phoebe Putney Memorial Hospital, and is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses
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
Queendaleen C Chukwurah 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.
Medicare Billing Reassignment
Medicare enrollment records show Queendaleen Chukwurah reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Camilla, GA 31730
- Reassigned Medicare billing, Georgia enrollment
- Medicare enrollment name: Phoebe Physician Group Inc
- 1,118 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 2
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Phoebe Putney Memorial Hospital
Acute Care Hospitals · Albany, GAOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Queendaleen Chukwurah's NPI number?
The NPI number for Queendaleen Chukwurah is 1295318756. It was assigned to this individual provider in the NPPES registry on May 3, 2021.
Where is Queendaleen Chukwurah located?
Queendaleen Chukwurah practices at 750 Morphy Ave, Fairhope, AL 36532. The listed phone number is (251) 279-1529.
What is Queendaleen Chukwurah's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Queendaleen Chukwurah enrolled in Medicare?
Yes. Queendaleen Chukwurah 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 Queendaleen Chukwurah's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Queendaleen Chukwurah reassigns Medicare benefits to Phoebe Senior Center (Camilla, GA). 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 Queendaleen Chukwurah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Queendaleen Chukwurah affiliated with any hospitals?
According to CMS data, Queendaleen Chukwurah is affiliated with Phoebe Putney Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Queendaleen Chukwurah was last updated on May 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Queendaleen C Chukwurah, MD · NPI 1295318756
Student in an Organized Health Care Education/Training Program provider in Fairhope, Alabama. Individual provider, active in the CMS NPPES registry since May 3, 2021.
## Identity
- **NPI:** 1295318756 (Entity type: Individual)
- **Enumerated:** May 3, 2021
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 750 MORPHY AVE, Fairhope, AL 36532-1899
- **Phone:** (251) 279-1529
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Phoebe Senior Center (NPI 1821394271, Camilla, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** May 3, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1295318756) · Data from the CMS NPPES public registry.