Physician Compare National (NPI:1033341656)

HEALTHCARE PROVIDER: CHINEDU PATRICK NWEKE M.D

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1033341656
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2860619012
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20180918003398
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	NWEKE
	Individual professional last name
Provider First Name	CHINEDU
	Individual professional first name
Provider Middle Name	PATRICK
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2005
	Individual professional's medical school graduation year
Primary Specialty	NEPHROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	4450 CALIBRE XING NW
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 1126
	Group Practice or individual's line 2 address
City	ACWORTH
	Group Practice or individual's city
State	GA
	Group Practice or individual's state
Zip Code	301014104
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	110184
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	WELLSTAR DOUGLAS HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	110030
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	CARTERSVILLE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y