PRIMUS MBAWUIKE MD – NPI #1487008793
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

PRIMUS MBAWUIKE is a physician located in FORDYCE, AR. NPPES has assigned the NPI number 1487008793 to PRIMUS MBAWUIKE on April 22, 2016. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was last updated on Aug 05, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PRIMUS MBAWUIKE below.

NPI Profile for
PRIMUS MBAWUIKE

NPI Number
1487008793
Enumeration Date

(more than 10 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
PRIMUS MBAWUIKE
Credentials
MD
Primary location
201 N CLIFTON ST
FORDYCE, AR 71742-3026
Phone: (870) 352-6300 Fax:
2 Other location(s):
1600 W 40th Ave
Pine Bluff, AR 71603-6301
Phone: (870) 541-7211
Fax: (479) 841-4297
252 Farber Hall
Buffalo, NY 14214-8001
Phone: (716) 829-6104
Mailing address
13200 CHENAL PKWY
APT 221
LITTLE ROCK, AR 72211-5388
Phone: (314) 210-2075 Fax:
Sole Proprietor
No
Updated
Certification Date
Aug 05, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
AR E-13277
390200000X
- Student in an Organized Health Care Education/Training Program
208M00000X
- Hospitalist
AR E-13277
207P00000X
- Emergency Medicine
AR E-13277

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE - Graduated 2016
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
PRIMUS MBAWUIKE is affiliated with the following medical group(s):
  • HOSPITAL
    • DALLAS COUNTY MEDICAL CENTER
      201 CLIFTON STREET
      FORDYCE, AR 71742
    • JEFFERSON REGIONAL MEDICAL CENTER
      1600 WEST 40TH AVENUE
      PINE BLUFF, AR 71603

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.