Individual provider Active NPI

Timothy Onyiuke, MD

  • General Practice Physician
  • Lutherville, MD
National Provider Identifier
1093102782
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
01078963A Issued in IN
Practice address
1519 York Rd
Lutherville, MD 21093-5611
Phone
(310) 445-5999
NPI assigned
Apr 20, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 01078963A IN Primary

Addresses

Primary practice location

1519 York Rd
Lutherville, MD 21093-5611

Mailing address

4512 Vermella Way
Lyndhurst, NJ 07071-1340
Phone (347) 596-3959

Other practice location 1

263 Farmington Ave
Department of Surgery
Farmington, CT 06030-3955
Phone (860) 679-3467

Other practice location 2

4055 Valley View Ln Ste 400
Dallas, TX 75244-5071
Phone (972) 715-3800

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: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180202001994 MD Practitioner - General Surgery 2769786094 Reassigns benefits to 3 organizations
I20180827001167 DC Practitioner - General Surgery 2769786094 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Skilled Biologics IncGroup PAC ID 4880132760, 25 clinicians

Practice addresses (Care Compare)

Washington, DC 20008
Phone (310) 445-5999

Timonium, MD 21093
Phone (310) 445-5999

1090 Vermont Ave NW
910 Skilled Wound Care
Washington, DC 20005-4953
Phone (310) 445-5999

7 Saint Paul St
Suite 820
Baltimore, MD 21202-1681
Phone (310) 445-5999

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue2831
Removal of skin lesions33
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01078963AINMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Skilled Facility Health Care Solutions Inc CurrentSince Jan 8, 2018 Accepting new patients
Skilled Biologics, Inc. CurrentSince Aug 4, 2024 Accepting new patients

Locations

3746 Foothill Blvd
La Crescenta, CA 91214
Phone (323) 574-0387

12021 Wilshire Blvd
Los Angeles, CA 90025
Phone (310) 348-1900

4901 Connecticut Ave NW
Washington, DC 20008
Phone (202) 965-6564

1090 Vermont Ave NW
Ste 910
Washington, DC 20005

7 Saint Paul St
Ste 820
Baltimore, MD 21202
Phone (800) 370-6351

12230 Roundwood Rd
Timonium, MD 21093
Phone (410) 252-0880

1519 York Rd
Timonium, MD 21093
Phone (443) 327-9176

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1093102782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4512 VERMELLA WAY",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070711340",
            "telephone_number": "347-596-3959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 YORK RD",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210935611",
            "telephone_number": "310-445-5999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "263 Farmington Ave",
            "address_2": "Department of Surgery",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "CT",
            "postal_code": "060303955",
            "country_code": "US",
            "telephone_number": "860-679-3467",
            "fax_number": "860-679-1460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4055 Valley View Ln Ste 400",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752445071",
            "country_code": "US",
            "telephone_number": "972-715-3800",
            "fax_number": "972-715-3800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ONYIUKE",
        "first_name": "TIMOTHY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IN",
            "license": "01078963A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville, MD

Sources for this page

Verify at the official NPI Registry.