MEDICARE: DR. CHUKWUEMEKE O NKADI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	35-064160	OH
2	208M00000X	Hospitalist Physician	43292	TN
3	207RC0000X	Cardiovascular Disease Physician	43292	TN
4	207RC0000X	Cardiovascular Disease Physician	28924	WV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598760845
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHUKWUEMEKE O NKADI M.D.

Provider Business Mailing Address
First Line	:	247 S BURNETT RD STE 100
Second Line	:
City	:	SPRINGFIELD
State	:	OH
Zip	:	45505-2660
Country	:	US
Telephone Number	:	937-505-9501
Fax Number	:	937-390-7142

Provider Business Practice Location Address
First Line	:	247 S BURNETT RD
Second Line	:	SUITE 100
City	:	SPRINGFIELD
State	:	OH
Zip	:	45505-2639
Country	:	US
Telephone Number	:	937-505-9501
Fax Number	:	937-390-7142

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2005
Last Update Date	:	01/05/2026

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Directions to “ DR. CHUKWUEMEKE O NKADI M.D.” Practice Location

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