Look up the most recent NPI and PECOS records

Chinanu Chidi

Internal Medicine

Allopathic & Osteopathic Physicians

550 S Jackson St Fl Street3, Louisville, KY 40202-1622

PECOS Enrollment

Based on the most recent information from CMS, provider Chinanu Chidi is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 10:34 AM.

Profile Details

Provider ID
1457046716
Provider Type
Individual
Full Name
Chidi, Chinanu
Gender
Female

Sole Proprietor
No
Enumeration Date
4/11/2023
Last Updated
7/31/2025

Contact Information

Practice Location

550 S Jackson St Fl Street3, Louisville, KY 40202-1622

(502) 852-5666

Unlisted Fax

Mailing Location

550 S Jackson St Fl Street3, Louisville, KY 40202-1622

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License R7236 Kentucky

Chinanu Chidi

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Shah, Sidra Rehan

Bricknell, Ryan Aziz Thomas

Beal, John Wesley

Ozor, Uchenna Loretta

Moser, Christopher M

Loy, Elizabeth Diane

Rainey, Sabrina Constance

Rouchka, Jennifer Tobias

Gordon, Kaitlin

Hasan, Rafi A