Individual provider Active NPI

Michael C Obiefune, MD

  • Family Medicine Physician
  • Baltimore, MD
National Provider Identifier
1073552881
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D56462 Issued in MD
Practice address
22 S Greene St
Baltimore, MD 21201-1544
Phone
(410) 328-8040
Fax
(443) 462-3514
NPI assigned
Jun 6, 2006
Last updated
Jan 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D56462 MD Primary

Addresses

Primary practice location

22 S Greene St
Baltimore, MD 21201-1544

Mailing address

PO Box 64442
Baltimore, MD 21201-1544
Phone (410) 328-8040

Other practice location 1

1501 Division St
Baltimore, MD 21217-3121
Phone (410) 383-8300

Other identifiers 1

IdentifierTypeStateIssuer
409218000MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040706001273 MD Practitioner - Internal MedicinePractitioner - Infectious Disease 7012994130 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Infectious Disease
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Total Health Care IncGroup PAC ID 0446258487, 57 clinicians

Practice addresses (Care Compare)

1501 Division St
Baltimore, MD 21217-3121
Phone (410) 383-8300

29 S Paca St
Baltimore, MD 21201-1771
Phone (667) 214-2100

5890 Waterloo Rd
Columbia, MD 21045-2617
Phone (667) 214-2100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Family Medicine Associates, P.a. CurrentSince Sep 13, 2023 Accepting new patients
University of Maryland Physicians PA Internal Medicine CurrentSince Sep 13, 2017 Accepting new patients
Total Health Care Inc. CurrentSince Sep 25, 2023 Accepting new patients
Armoc Healthcare Services Family Medicine Current Accepting new patients
University of Maryland Family Medicine Associates, P.a. CurrentSince Sep 13, 2023 Accepting new patients
University of Maryland Physicians P.a. CurrentSince Sep 13, 2017 Accepting new patients
University of Maryland Physicians P.a. Current Accepting new patients
Total Health Care Inc CurrentSince Sep 25, 2023 Accepting new patients
Summit Medical Group LLC Family Medicine CurrentSince Dec 28, 2023 Accepting new patients
Total Health Care Inc Current Accepting new patients
University of Maryland Faculty Physicians Immediate Care, LLC CurrentSince Sep 13, 2023 Accepting new patients
Total Health Care Inc Past Accepting new patients

Locations

1111 Washington Blvd
Baltimore, MD 21230
Phone (410) 783-1859

1501 Division St
Baltimore, MD 21217
Phone (410) 735-5390

1501 W Saratoga St
Baltimore, MD 21223
Phone (410) 383-7197

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

2400 Kirk Ave
Baltimore, MD 21218
Phone (410) 243-1800

250 W Pratt St
Ste 900
Baltimore, MD 21201
Phone (410) 328-6267

5890 Waterloo Rd
Columbia, MD 21045
Phone (410) 328-2603

6310 Stevens Forest Rd
Columbia, MD 21046
Phone (410) 740-3240

6310 Stevens Forest Rd
Ste 200
Columbia, MD 21046
Phone (410) 740-9001

2288 Blue Water Blvd
Ste 440
Odenton, MD 21113
Phone (410) 674-7403

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GJFJBD
  • Direct secure messaging: mobiefune506769@direct.umm.edu

Organizations & group practices 12

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

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1073552881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64442",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011544",
            "telephone_number": "410-328-8040",
            "fax_number": "443-462-3514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 S GREENE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011544",
            "telephone_number": "410-328-8040",
            "fax_number": "443-462-3514"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 Division St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212173121",
            "country_code": "US",
            "telephone_number": "410-383-8300",
            "fax_number": "410-383-3160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OBIEFUNE",
        "first_name": "MICHAEL",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D56462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "409218000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.