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

Mr. Kenechukwu Nwagbara, MD

Individual provider Internal Medicine Physician · NPI 1366837239

Mr. Kenechukwu Nwagbara, MD is a Cardiovascular Disease (Cardiology) in Maryville, Tennessee. Qualified in 2010, 16 years ago. Practices with Blount Memorial Physician Group Inc, a 249-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois, Missouri and Tennessee.

Years since qualifying
16
Licensed in
IL, MO, TN
In the registry since
2015
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

162 Bmh Physicians Ofc Bldg
Maryville, TN 37804-5902
Phone: (865) 238-6161
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4600 Memorial Dr Ste W1, Belleville, IL 62226-5359 — (618) 233-3066

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 74653 (TN)
Internal Medicine Physician Taxonomy 207R00000X · Licence 2018023739 (MO)
Interventional Cardiology Physician Taxonomy 207RI0011X · Licence 036177610 (IL)

Record details

NPI number1366837239
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 30, 2015
Last updated in NPPESDecember 18, 2025
Certification dateDecember 18, 2025

Medicare enrollment

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

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Blount Memorial Physician Group Inc — 249 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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