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NGOZI NWANKWO MD
NPI 1477680783
Internal Medicine in Cincinnati, OH

Active since February 27, 2007PECOS EnrolledAccepts Medicare Assignment
78.78/100
CMS Quality Rating
3130 HIGHLAND AVE, RESIDENT CLINIC, CINCINNATI, OH 45219(513) 584-4505(513) 584-0468 Get Directions Write a Review

NPPES record last updated: June 15, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ngozi Nwankwo Md NPPES

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

NGOZI NWANKWO MD (NPI 1477680783) is an individual internal medicine provider in Cincinnati, Ohio, licensed in Ohio (35-089084) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, is affiliated with University Of Cincinnati Medical Center, Llc, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1477680783
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameNGOZI NWANKWOCredential: MD
Location Address3130 HIGHLAND AVE, RESIDENT CLINICCincinnati, OH 45219-2399
Mailing AddressPo Box 636256, Central CredentialingCincinnati, OH 45263-6256 · (513) 585-5505 · Fax (513) 585-5511
Phone(513) 584-4505
Fax(513) 584-0468
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateFebruary 27, 2007
Last NPPES UpdateJune 15, 2017
✔ NPI 1477680783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 35-089084
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3130 HIGHLAND AVE, Cincinnati, OH 45219
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Other Identifiers 4

Medicaid2749637OH
Medicare PINNW4212281OH
Medicaid200868240IN
Medicaid7100018600KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Oscar Health Insurance.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

Ngozi Nwankwo 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 ID9638273378
PECOS Enrollment IDI20070405000097
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.

Areas of Expertise CMS Part B claims 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
355 services164 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
130 services71 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
124 services112 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.
68 services68 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
46 services33 patients
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.
22 services22 patients

Hospital Affiliations CMS Care Compare 2

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

University Of Cincinnati Medical Center, LLC

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360003
Location3188 Bellevue AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

West Chester Hospital

Acute Care Hospitals · West Chester, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360354
Location7700 University DriveWest Chester, OH 45069 · Butler County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45219 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

78.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.42
Promoting Interoperability100
Improvement Activities40
Cost58.86

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
93%73 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers11 claims11 services$15.13 avg. paid by Medicare
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
5 suppliers52 claims52 services$66.73 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
3 suppliers40 claims40 services$29.35 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 20

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

DR. LEI QU PHARMD
Pharmacist
3130 HIGHLAND AVE
CINCINNATI, OH 45219
Hamilton County (135) 584-8828
MICHAEL FRITZ
Dermatology
3130 HIGHLAND AVE
CINCINNATI, OH 45219
Hamilton County (513) 475-7630
MARGO WATERS MD
Student in an Organized Health Care Education/Training Program
3130 HIGHLAND AVE, GROUND FLOOR
CINCINNATI, OH 45219
Hamilton County (513) 584-4644
THOMAS LAWLER
Internal Medicine
3130 HIGHLAND AVE
CINCINNATI, OH 45219
Hamilton County (513) 584-4505
JULIANE VIERECKE MD
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
3130 HIGHLAND AVE
CINCINNATI, OH 45219
Hamilton County (513) 584-7217
MAX CHRISTOPHER REIF M.D.
Internal Medicine (Nephrology)
3130 HIGHLAND AVE
CINCINNATI, OH 45219
Hamilton County (513) 584-4061
DR. WILLIAM MICHAEL GAYNIER D.O
Ophthalmology
3130 HIGHLAND AVE
CINCINNATI, OH 45219
Hamilton County (513) 584-5461
LATOYA LABRESSKA BRATHWAITE MD
Internal Medicine (Nephrology)
3130 HIGHLAND AVE, 2ND FLOOR NEPHROLOGY HOXWORTH CLINIC
CINCINNATI, OH 45219
Hamilton County (513) 584-4061

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 Ngozi Nwankwo's NPI number?

The NPI number for Ngozi Nwankwo is 1477680783. It was assigned to this individual provider in the NPPES registry on February 27, 2007.

Where is Ngozi Nwankwo located?

Ngozi Nwankwo practices at 3130 Highland Ave Resident Clinic, Cincinnati, OH 45219. The listed phone number is (513) 584-4505.

What is Ngozi Nwankwo's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ngozi Nwankwo enrolled in Medicare?

Yes. Ngozi Nwankwo 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 Ngozi Nwankwo accept?

Health plans from CareSource and Oscar Health Insurance list Ngozi Nwankwo 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 Ngozi Nwankwo affiliated with any hospitals?

According to CMS data, Ngozi Nwankwo is affiliated with University Of Cincinnati Medical Center, LLC and West Chester Hospital.

When was this NPI record last updated?

The NPPES record for Ngozi Nwankwo was last updated on June 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.