Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Chuck G Nwakanma

Individual provider Critical Care Medicine (Internal Medicine) Physician · NPI 1417984063

Dr. Chuck G Nwakanma is a Critical Care (Intensivists) in Fort Wayne, Indiana. Qualified in 1992, 34 years ago. Practices with La Porte Clinic Company LLC, a 66-clinician group and accepts Medicare assignment. Licensed in Illinois, Indiana, Michigan and Missouri.

Years since qualifying
34
Licensed in
IL, IN, MI, MO
In the registry since
2006
Specialties on file
4
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Practice location Address checks out

2200 Randallia Dr
Fort Wayne, IN 46805-4738
Phone: (260) 373-6315
Fax: (260) 373-6348
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

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

Record details

NPI number1417984063
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 27, 2006
Last updated in NPPESOctober 18, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCRITICAL CARE (INTENSIVISTS)
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice La Porte Clinic Company Llc — 66 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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