Individual provider Active NPI

Chiso Ori Enwezor, PA-C

  • Physician Assistant
  • Columbia, MD
National Provider Identifier
1093344459
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0008060 Issued in MD
Practice address
10005 Old Columbia Rd Ste P170
Columbia, MD 21046-1727
Phone
(410) 312-5280
NPI assigned
Apr 6, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0008060 MD Primary

Addresses

Primary practice location

10005 Old Columbia Rd Ste P170
Columbia, MD 21046-1727

Mailing address

10005 Old Columbia Rd Ste P170
Columbia, MD 21046-1727

Other practice location 1

9398 Baltimore National Pike
Ellicott City, MD 21042-2802
Phone (410) 480-9110

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
I20241120003891 MD Practitioner - Physician Assistant 3678979317 Reassigns benefits to 2 organizations
I20241120003950 DC Practitioner - Physician Assistant 3678979317 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Comprehensive Primary Care and Associates LLCGroup PAC ID 5092991984, 167 clinicians
Capital Healthcare PCGroup PAC ID 3779723309, 102 clinicians

Practice addresses (Care Compare)

2554 Solomons Island Rd
Suite B 5
Annapolis, MD 21401-3710
Phone (410) 943-2484

6020 Richmond Hwy
Suite 102
Alexandria, VA 22303-2157
Phone (571) 308-6776

8305 Wisconsin Ave
Bethesda, MD 20814-3103
Phone (301) 800-7000

9398 Baltimore National Pike
Ellicott City, MD 21042-2802
Phone (410) 216-6891

Merit-based Incentive Payment System (MIPS)

Final score
95.13 of 100Reported as apm
Quality
90.26
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: chiso.uko.1@15482.direct.athenahealth.com

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": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1093344459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10005 OLD COLUMBIA RD STE P170",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10005 OLD COLUMBIA RD STE P170",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461727",
            "telephone_number": "410-312-5280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9398 Baltimore National Pike",
            "address_purpose": "LOCATION",
            "city": "Ellicott City",
            "state": "MD",
            "postal_code": "210422802",
            "country_code": "US",
            "telephone_number": "410-480-9110",
            "fax_number": "877-483-2610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENWEZOR",
        "first_name": "CHISO",
        "middle_name": "ORI",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-06",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0008060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.