Individual provider Active NPI

Ngozika Nwaneri, MD

  • Specialist
  • Lanham, MD
National Provider Identifier
1003836305
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D23145 Issued in MD
Practice address
7214 Kempton Rd
Lanham, MD 20706-1104
Phone
(301) 459-6040
Fax
(301) 731-6163
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 9171 DC
Specialist 174400000X D23145 MD Primary
Specialist 174400000X 0101027840 VA

Addresses

Primary practice location

7214 Kempton Rd
Lanham, MD 20706-1104

Mailing address

7214 Kempton Rd
Lanham, MD 20706-1104
Phone (301) 459-6040

Other identifiers 2

IdentifierTypeStateIssuer
362761600MedicaidMD
019929600MedicaidDC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9171DCMDSpecialist
D23145MDMDSpecialist
0101027840VAMDSpecialist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003836305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7214 KEMPTON RD",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207061104",
            "telephone_number": "301-459-6040",
            "fax_number": "301-731-6163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7214 KEMPTON RD",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207061104",
            "telephone_number": "301-459-6040",
            "fax_number": "301-731-6163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWANERI",
        "first_name": "NGOZIKA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "DC",
            "license": "9171",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D23145",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101027840",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "362761600",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019929600",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

Verify at the official NPI Registry.