MEDICARE: CHISOM MARCELLUS NWANEKI MD, MPH

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	207RG0100X	Gastroenterology Physician	94-12571	KS

General Provider Information

NPI Number	:	1770288318
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHISOM MARCELLUS NWANEKI MD, MPH

Provider Business Mailing Address
First Line	:	3901 RAINBOW BLVD # MS 1023
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66160-8500
Country	:	US
Telephone Number	:	913-588-4146
Fax Number	:

Provider Business Practice Location Address
First Line	:	3901 RAINBOW BLVD # MS 1023
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66160-8500
Country	:	US
Telephone Number	:	913-588-4146
Fax Number	:

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

Provider Enumeration Date	:	04/03/2023
Last Update Date	:	04/13/2026

Similar Medicare Providers

1548017114 — MONTSERRAT LARA PETRICK MD, PHD
Practice Location Address:

3901 RAINBOW BLVD
KANSAS CITY, KS
66160-8500

Practice Phone: 913-588-0356
Practice Fax:

1265390165 — NABIL HOSSAIN MD
Practice Location Address:

3901 RAINBOW BLVD # MS 2027
KANSAS CITY, KS
66160-8500

Practice Phone: 913-588-1227
Practice Fax:

1215728720 — WILLIAM DEAN LYNCH III
Practice Location Address:

3901 RAINBOW BLVD
KANSAS CITY, KS
66160-8500

Practice Phone: 913-588-5000
Practice Fax:

1891594222 — ELIZABETH FRYE
Practice Location Address:

3901 RAINBOW BLVD
KANSAS CITY, KS
66160-8500

Practice Phone: 913-588-5000
Practice Fax:

1770103269 — ALEKSANDRA KEELING
Practice Location Address:

3901 RAINBOW BLVD # MS 2003
KANSAS CITY, KS
66160-8500

Practice Phone: 913-588-7195
Practice Fax: 913-588-4568

1659170082 — TAYLOR ELSHAW
Practice Location Address:

3901 RAINBOW BLVD
KANSAS CITY, KS
66160-8500

Practice Phone: 913-588-1227
Practice Fax:

Directions to “ CHISOM MARCELLUS NWANEKI MD, MPH” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.