Individual provider Active NPI

Chinwe Obinwa, ARNP

  • Nurse Practitioner
  • Bethesda, MD
National Provider Identifier
1053701102
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
002466 Issued in MD
Practice address
7986 Old Georgetown Rd Ste B
Bethesda, MD 20814-2486
Phone
(301) 541-8399
Fax
(469) 864-7067
NPI assigned
Jan 28, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024177063 VA
Nurse Practitioner 363L00000X ARNP3154192 FL
Nurse Practitioner 363L00000X 002466 MD Primary

Addresses

Primary practice location

7986 Old Georgetown Rd Ste B
Bethesda, MD 20814-2486

Mailing address

7986 Old Georgetown Rd Ste B
Bethesda, MD 20814-2486
Phone (301) 541-8399

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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
I20190226000450 DC Practitioner - Nurse Practitioner 1052630985 Reassigns benefits to 1 organization
I20241127004353 MD Practitioner - Nurse Practitioner 1052630985 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Paul Place Specialists, Inc.Group PAC ID 7719882943, 332 clinicians

Practice addresses (Care Compare)

301 Saint Paul St
Baltimore, MD 21202-2102
Phone (410) 659-2800

Hospital & facility affiliations

  • Mercy Medical Center Inc Hospital, Baltimore, MD, CCN 210008

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP3154192FLMDNurse Practitioner
002466MDMDNurse Practitioner
0024177063VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Paul Place Specialists Inc CurrentSince Oct 10, 2024 Accepting new patients
St. Paul Place Specialists, Inc. Current Accepting new patients
Medical Faculty Associates, Inc CurrentSince Jan 4, 2019 Accepting new patients
St Paul Place Specialists, Inc. CurrentSince Oct 10, 2024 Accepting new patients
Saint Paul Place Specialists, Inc. Past Accepting new patients

Locations

5215 Loughboro Rd NW
Ste 210
Washington, DC 20016

900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750

301 Saint Paul St
Baltimore, MD 21202
Phone (410) 385-4930

7927 Ritchie Hwy
Glen Burnie, MD 21061
Phone (410) 494-9099

7321 Hanover Pkwy
Ste A
Greenbelt, MD 20770
Phone (301) 474-1324

7602 Belair Rd
Nottingham, MD 21236
Phone (410) 332-9654

1860 Town Center Dr
Reston, VA 20190
Phone (571) 313-0349

Interoperability endpoints

  • Direct secure messaging: cobinwa19803@gwmfa.direct-ci.com
  • Direct secure messaging: cobinwa108728@direct.mdmercy.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1422403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1053701102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7986 OLD GEORGETOWN RD STE B",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208142486",
            "telephone_number": "301-541-8399",
            "fax_number": "469-864-7067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7986 OLD GEORGETOWN RD STE B",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208142486",
            "telephone_number": "301-541-8399",
            "fax_number": "469-864-7067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBINWA",
        "first_name": "CHINWE",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-28",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024177063",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP3154192",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "002466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.