MR. KENECHUKWU NWAGBARA M.D.
NPI 1366837239
Internal Medicine - Cardiovascular Disease in Maryville, TN

Q: What is Kenechukwu Nwagbara's NPI number?

The NPI number for Kenechukwu Nwagbara is 1366837239. It was assigned to this individual provider in the NPPES registry on March 30, 2015.

Q: What is Kenechukwu Nwagbara's specialty?

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

Active since March 30, 2015PECOS EnrolledAccepts Medicare Assignment

162 BMH PHYSICIANS OFFICE BLDG, MARYVILLE, TN 37804(865) 238-6161 Get Directions Write a Review

NPPES record last updated: December 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 18, 2025, Jun 30, 2025, Dec 8, 2020 and 1 more (4 updates tracked since 2018).

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About Mr. Kenechukwu Nwagbara M.d. NPPES

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

MR. KENECHUKWU NWAGBARA M.D. (NPI 1366837239) is an individual cardiovascular disease provider in Maryville, Tennessee, licensed in Tennessee (74653) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS, is affiliated with Blount Memorial Hospital, and maintains a secondary practice location in Belleville.

NPPES Registry Identity

NPI1366837239

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameMR. KENECHUKWU NWAGBARACredential: M.D.

Location Address162 BMH PHYSICIANS OFFICE BLDGMaryville, TN 37804-5902

Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842

Phone(865) 238-6161

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateMarch 30, 2015

Last NPPES UpdateDecember 18, 20254 updates tracked since enumeration

NPPES CertifiedDecember 18, 2025

✔ NPI 1366837239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in TN · 74653

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 MedicineTaxonomy 207R00000X · License 2018023739 (MO)

Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License 036177610 (IL)

162 BMH PHYSICIANS OFFICE BLDG, Maryville, TN 37804

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Secondary Practice Location 1

Location 14600 Memorial Dr Ste W1Belleville, IL 62226-5359 · Phone (618) 233-3066 · Fax (618) 233-3180

Other Identifiers 1

MedicaidQ103955TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Molina Healthcare, UnitedHealthcare.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

Mr. Kenechukwu Nwagbara M.d. 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 ID9537416128

PECOS Enrollment IDI20250714003594

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.

Hospital Affiliations CMS Care Compare 2

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

Blount Memorial Hospital

Acute Care Hospitals · Maryville, TN

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number440011

Location907 E Lamar Alexander ParkwayMaryville, TN 37804 · Blount County

Emergency services Birthing friendly

Parkwest Medical Center

Acute Care Hospitals · Knoxville, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440173

Location9352 Park West BlvdKnoxville, TN 37923 · Knox County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37804 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

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

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.

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

2 suppliers18 claims18 services$84.09 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 17

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

BHAVIN PATEL MD

Internal Medicine (Cardiovascular Disease)