Individual provider Active NPI

Uchechukwu Ifeji

  • Psychiatric/Mental Health Nurse Practitioner
  • Silver Spring, MD
National Provider Identifier
1043736846
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R181434 Issued in MD
Practice address
11120 New Hampshire Ave Ste 501
Silver Spring, MD 20904-2618
Phone
(301) 593-8300
Fax
(301) 593-8301
NPI assigned
Aug 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R181434 MD Primary
Family Nurse Practitioner 363LF0000X R181434 MD

Addresses

Primary practice location

11120 New Hampshire Ave Ste 501
Silver Spring, MD 20904-2618

Mailing address

11120 New Hampshire Ave Ste 5
Silver Spring, MD 20904-2633
Phone (240) 838-0497

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180411002750 MD Practitioner - Nurse Practitioner 6103189857 Reassigns benefits to 4 organizations
I20180411002953 DC Practitioner - Nurse Practitioner 6103189857 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Outreach Recovery II, LLCGroup PAC ID 5294166302, 11 clinicians
Community Healthcare and Recovery Services LLCGroup PAC ID 8426412164, 2 clinicians

Practice addresses (Care Compare)

14205 Park Ctr Drive 201 and
Suite 2
Laurel, MD 20707
Phone (410) 800-4466

9701 Apollo Dr
Suite 293
Largo, MD 20774-4789
Phone (240) 838-0497

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R181434MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Jun 11, 2021 Accepting new patients
Community Healthcare and Recovery Services LLC Psychiatric/Mental Health CurrentSince Sep 1, 2023 Accepting new patients
Vesta, Inc. Current Accepting new patients
Community Healthcare and Recovery Services LLC Psychiatric/Mental Health Current Accepting new patients
Vesta Inc CurrentSince Mar 24, 2018 Accepting new patients
Milestones Counseling and Consulting Services CurrentSince Oct 1, 2022 Accepting new patients
Privia Medical Group, LLC CurrentSince Jun 11, 2021 Accepting new patients
Vesta, Inc. CurrentSince Mar 24, 2018 Accepting new patients
Vesta, Inc. CurrentSince Mar 24, 2018 Accepting new patients
Assured Access Medical Associates Inc. CurrentSince Jan 12, 2023 Accepting new patients
My Client Mental Health and Wellness LLC CurrentSince Oct 1, 2022 Accepting new patients
Outreach Recovery II, LLC PastSince Sep 17, 2023 Accepting new patients

Locations

10632 Little Patuxent Pkwy
Ste 330
Columbia, MD 21044
Phone (240) 437-4920

3900 Forestville Rd
Forestville, MD 20747
Phone (240) 296-5848

7221 Hanover Pkwy
Ste C
Greenbelt, MD 20770
Phone (301) 439-4422

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

9301 Annapolis Rd
Ste 300
Lanham, MD 20706
Phone (240) 296-5848

46940 S Shangri La Dr
Ste 100
Lexington Pk, MD 20653
Phone (301) 863-4543

1202 Annapolis Rd
Ste F
Odenton, MD 21113
Phone (240) 296-1370

9701 Apollo Dr
Ste 293
Upper Marlboro, MD 20774
Phone (240) 821-2195

11350 Pembrooke Sq
Ste 304
Waldorf, MD 20603
Phone (301) 856-2810

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1043736846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11120 NEW HAMPSHIRE AVE STE 5",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209042633",
            "telephone_number": "240-838-0497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11120 NEW HAMPSHIRE AVE STE 501",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209042618",
            "telephone_number": "301-593-8300",
            "fax_number": "301-593-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IFEJI",
        "first_name": "UCHECHUKWU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-14",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R181434",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R181434",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.