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PATRICK NWACHUKWU JR. MD
NPI 1730970336
Student in an Organized Health Care Education/Training Program in Tyler, TX

Active since May 14, 2025PECOS Enrolled
11937 STATE HIGHWAY 271, TYLER, TX 75708(903) 594-2269 Get Directions Write a Review

NPPES record last updated: May 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Patrick Nwachukwu Jr. Md NPPES

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

PATRICK NWACHUKWU JR. MD (NPI 1730970336) is an individual student in an organized health care education/training program in Tyler, Texas and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730970336
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NamePATRICK NWACHUKWU JR.Credential: MD
Location Address11937 STATE HIGHWAY 271Tyler, TX 75708-3154
Mailing Address15311 Mission Forest DrHouston, TX 77083-7362
Phone(903) 594-2269
Sole ProprietorNo
Enumeration DateMay 14, 2025
NPPES CertifiedApril 30, 2025
✔ NPI 1730970336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
11937 STATE HIGHWAY 271, Tyler, TX 75708
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Patrick Nwachukwu Jr. Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES

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

CRISY ABRAHAM MD
Student in an Organized Health Care Education/Training Program
11937 STATE HIGHWAY 271
TYLER, TX 75708
Smith County (903) 594-2269

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 Patrick Nwachukwu's NPI number?

The NPI number for Patrick Nwachukwu is 1730970336. It was assigned to this individual provider in the NPPES registry on May 14, 2025.

Where is Patrick Nwachukwu located?

Patrick Nwachukwu practices at 11937 State Highway 271, Tyler, TX 75708. The listed phone number is (903) 594-2269.

What is Patrick Nwachukwu's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Patrick Nwachukwu enrolled in Medicare?

Yes. Patrick Nwachukwu is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Patrick Nwachukwu was last updated on May 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.