NPIMap

Organization Active NPI

Gilead Quantum Health Systems Inc.

  • Clinic/Center
  • Lanham, MD
National Provider Identifier
1043497290
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
DOO64126 Issued in MD
Legal business name
GILEAD QUANTUM HEALTH SYSTEMS INC.
Practice address
9470 Annapolis Rd Ste 117
Lanham, MD 20706-3031
Phone
(301) 577-9111
Fax
(301) 577-9199
NPI assigned
Jan 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Authorized official

Name
Dr. Theodore C. Osuala, M.D.NPI 1356428833
Title
Medical Director
Phone
(301) 577-9111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X DOO64126 MD Primary

Addresses

Primary practice location

9470 Annapolis Rd Ste 117
Lanham, MD 20706-3031

Mailing address

7515 Annapolis Rd
Suite 210
Landover Hills, MD 20784-1740
Phone (301) 577-9111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080428000524 DC Part B Supplier - Clinic/Group Practice 9537247838 Receives reassigned benefits from 4 practitioners
Practice locations: Lanham, MD

National Provider Directory

National Provider Directory

Locations

7515 Annapolis Rd
Ste 210
Landover Hills, MD 20784
Phone (301) 577-9111

9470 Annapolis Rd
Ste 117
Lanham, MD 20706
Phone (301) 577-9111

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659398400000",
    "number": "1043497290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7515 ANNAPOLIS RD",
            "address_2": "SUITE 210",
            "city": "LANDOVER HILLS",
            "state": "MD",
            "postal_code": "207841740",
            "telephone_number": "301-577-9111",
            "fax_number": "301-577-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9470 ANNAPOLIS RD STE 117",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063031",
            "telephone_number": "301-577-9111",
            "fax_number": "301-577-9199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILEAD QUANTUM HEALTH SYSTEMS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A",
        "authorized_official_last_name": "OSUALA",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "301-577-9111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MD",
            "license": "DOO64126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.