Individual provider

Chuck Nwakanma

Critical Care Medicine (Internal Medicine) Physician Medicare enrolled

Chuck Nwakanma is a Critical Care Medicine (Internal Medicine) Physician in Fort Wayne, IN, registered under NPI 1417984063.

Getting there

The practice address on file is 2200 RANDALLIA DR., Fort Wayne, IN 46805. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

2200 RANDALLIA DR., Fort Wayne, IN 46805 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
01067430A IN Critical Care Medicine (Internal… primary
036-104042 IL Critical Care Medicine (Internal…
4301082608 MI Critical Care Medicine (Internal…
2006015249 MO Critical Care Medicine (Internal…

Licences are recorded in 4 states: IN, IL, MI, MO. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Critical Care (intensivists)
PAC ID
0840294633
Enrollment ID
I20100105000587

Medicare enrolment is recorded as approved under the provider type Practitioner - Critical Care (intensivists). Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 4 states

This provider holds licences in 4 states: Illinois, Indiana, Michigan and Missouri. The practice address on file is in Fort Wayne, IN, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

IL Illinois
Licence
036-104042
Specialty
Critical Care Medicine (Internal…
Verify with the IL board →
IN Indiana practice address
Licence
01067430A
Specialty
Critical Care Medicine (Internal…
Verify with the IN board →
MI Michigan
Licence
4301082608
Specialty
Critical Care Medicine (Internal…
Verify with the MI board →
MO Missouri
Licence
2006015249
Specialty
Critical Care Medicine (Internal…
Verify with the MO board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Critical Care Medicine covers

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. NUCC Health Care Provider Taxonomy, code 207RC0200X
Allopathic & Osteopathic Physicians Internal Medicine Critical Care Medicine

All registered taxonomy codes

This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207RC0200X Critical Care Medicine (Internal Medicine) Physician Critical Care Medicine 01067430A IN primary
207RC0200X Critical Care Medicine (Internal Medicine) Physician Critical Care Medicine 036-104042 IL
207RC0200X Critical Care Medicine (Internal Medicine) Physician Critical Care Medicine 4301082608 MI
207RC0200X Critical Care Medicine (Internal Medicine) Physician Critical Care Medicine 2006015249 MO

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1417984063 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJun 27, 2006
Last updatedOct 18, 2012
StatusActive
Sole proprietorNo
Practice address 2200 RANDALLIA DR.
Fort Wayne, IN 46805
(260) 373-6315
Fax (260) 373-6348
Mailing address 1234 E. DUPONT RD. SUITE 3
Fort Wayne, IN 46825
Other identifiers 000000635990 · Other (IN)
000000772101 · Other (IN)
200962220 · Medicaid (IN)
P00803485 · Other (IN)
This record was last updated on Oct 18, 2012, roughly 13 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1417984063 passes the NPI check digit test The final digit 3 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 4 1 7 9 8 4 0 6
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 4 2 7 9 8 8 0 3

Sum = 67 · next multiple of 10 = 70 · check digit = 3 · actual last digit = 3

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1417984063?
NPI 1417984063 is the National Provider Identifier assigned to Chuck Nwakanma in Fort Wayne, IN. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Critical Care Medicine cover?
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
How do I contact Chuck Nwakanma?
The phone number on file with NPPES is (260) 373-6315, last updated Oct 18, 2012. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Chuck Nwakanma accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1417984063 a valid number?
Yes. 1417984063 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.