DOROTHY OZOEMENAM CHUDI-AGBAKU
NPI 1740171123
Nurse Practitioner - Family in Clovis, CA
About Dorothy Ozoemenam Chudi-agbaku NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DOROTHY OZOEMENAM CHUDI-AGBAKU (NPI 1740171123) is an individual family provider in Clovis, California, licensed in California (95035973) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
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
Dorothy Ozoemenam Chudi-agbaku 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 Dorothy Chudi-agbaku reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Visalia, CA 93277
- Reassigned Medicare billing, California enrollment
- 30 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 93612 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Dorothy Chudi-agbaku's NPI number?
The NPI number for Dorothy Chudi-agbaku is 1740171123. It was assigned to this individual provider in the NPPES registry on July 14, 2025.
Where is Dorothy Chudi-agbaku located?
Dorothy Chudi-agbaku practices at 214 W Alamos Ave Apt 204B, Clovis, CA 93612. The listed phone number is (859) 279-8225.
What is Dorothy Chudi-agbaku's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Dorothy Chudi-agbaku enrolled in Medicare?
Yes. Dorothy Chudi-agbaku 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 Dorothy Chudi-agbaku's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dorothy Chudi-agbaku reassigns Medicare benefits to Pain Clinics Of Central California, Inc. (Visalia, CA). 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 Dorothy Chudi-agbaku'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 Dorothy Chudi-agbaku was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Dorothy Ozoemenam Chudi-Agbaku · NPI 1740171123
Family physician in Clovis, California. Individual provider, active in the CMS NPPES registry since July 14, 2025.
## Identity
- **NPI:** 1740171123 (Entity type: Individual)
- **Enumerated:** July 14, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95035973 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 214 W ALAMOS AVE APT 204B, Clovis, CA 93612-3609
- **Phone:** (859) 279-8225
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Pain Clinics Of Central California, Inc. (NPI 1861060733, Visalia, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** July 14, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1740171123) · Data from the CMS NPPES public registry.