DR. CHIBUOKEM PRINCE IKWUAZOM MD
NPI 1497336804
Student in an Organized Health Care Education/Training Program in Brooklyn, NY
About Dr. Chibuokem Prince Ikwuazom Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CHIBUOKEM PRINCE IKWUAZOM MD (NPI 1497336804) is an individual student in an organized health care education/training program in Brooklyn, New York and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and is a graduate of New York University School Of Medicine (2021).
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 (PECOS)
Dr. Chibuokem Prince Ikwuazom Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Chibuokem Ikwuazom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Pittsburgh, PA 15235
- Reassigned Medicare billing, Pennsylvania enrollment
- 7,114 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.
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.
BROOKLYN, NY 11203
BROOKLYN, NY 11203
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 Chibuokem Ikwuazom's NPI number?
The NPI number for Chibuokem Ikwuazom is 1497336804. It was assigned to this individual provider in the NPPES registry on April 16, 2021.
Where is Chibuokem Ikwuazom located?
Chibuokem Ikwuazom practices at 450 Clarkson Ave, Brooklyn, NY 11203. The listed phone number is (718) 613-8652.
What is Chibuokem Ikwuazom's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Chibuokem Ikwuazom enrolled in Medicare?
Yes. Chibuokem Ikwuazom is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Chibuokem Ikwuazom's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Chibuokem Ikwuazom reassigns Medicare benefits to University Of Pittsburgh Physicians (Pittsburgh, PA). 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 Chibuokem Ikwuazom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Chibuokem Ikwuazom was last updated on April 16, 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.
# Dr. Chibuokem Prince Ikwuazom, MD · NPI 1497336804
Student in an Organized Health Care Education/Training Program provider in Brooklyn, New York. Individual provider, active in the CMS NPPES registry since April 16, 2021.
## Identity
- **NPI:** 1497336804 (Entity type: Individual)
- **Enumerated:** April 16, 2021
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 450 CLARKSON AVE, Brooklyn, NY 11203-2012
- **Phone:** (718) 613-8652
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Of Pittsburgh Physicians (NPI 1407985674, Pittsburgh, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** New York University School Of Medicine, class of 2021
## Record status
- **NPPES last updated:** April 16, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1497336804) · Data from the CMS NPPES public registry.