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

Mbonu Nnaji Ikezuagu, MD

Individual provider Internal Medicine Physician · NPI 1871721696

Mbonu Nnaji Ikezuagu, MD is an Internal Medicine in Appleton, Wisconsin. Qualified in 2008, 18 years ago. Practices with Thedacare, Incorporated, a 654-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio and Wisconsin.

Years since qualifying
18
Licensed in
OH, WI
In the registry since
2009
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3925 N Gateway Dr
Appleton, WI 54913-7863
Phone: (920) 702-6371
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2213 Franklin Ave, Toledo, OH 43620-1402 — (419) 251-2360

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 81640 (WI)
Internal Medicine Physician Taxonomy 207R00000X · Licence 35-099233 (OH)
Hospitalist Physician Taxonomy 208M00000X · Licence 81640 (WI)

Record details

NPI number1871721696
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 1, 2009
Last updated in NPPESSeptember 4, 2024
Certification dateSeptember 4, 2024

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesHOSPITALIST
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Thedacare, Incorporated — 654 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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