Mbonu Nnaji Ikezuagu, M.D.
NPI 1871721696ActiveIndividual· Internal Medicine· Appleton, WI
Internal Medicine (M.D.) with Thedacare, Incorporated, practicing in Appleton, Wisconsin. Enrolled in Medicare as practitioner - internal medicine and practitioner - internal medicine. Lists Thedacare Medical Center - New London as a hospital affiliation.
Overview
| NPI | 1871721696 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jul 1, 2009 |
| Last updated in NPPES | Sep 4, 2024 |
| Certified by provider | Sep 4, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 81640 | WI |
| Internal Medicine | 207R00000X | 35-099233 | OH |
| Hospitalist | 208M00000X | 81640 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (OH); Practitioner - Internal Medicine (WI) |
|---|
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Internal Medicine |
| Secondary specialties | Hospitalist |
Medical group
- Thedacare, IncorporatedWaupaca, WI · 647 clinicians
Hospital affiliation
- Thedacare Medical Center - New LondonNew London, WI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Internal Medicine providers in Appleton
- 1982711198
- 1992737522
- 1427306935
- 1831768399
- 1235478538
- 1265847396
- 1679666952
- 1083646608
- 1154732063
- 1710916812
- 1831351105
- 1972182913