NPIMap

Individual provider Active NPI

Uzochukwu Wilfred Unegbu, MD

  • Family Medicine Physician
  • Laurel, MD
National Provider Identifier
1104006360
Registry record updated Feb 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D71264 Issued in MD
Practice address
7350 Van Dusen Rd
Suite 390
Laurel, MD 20707-5263
Phone
(301) 604-8000
Fax
(301) 604-4406
NPI assigned
Nov 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D71264 MD Primary
Family Medicine Physician 207Q00000X MD039026 DC

Addresses

Primary practice location

7350 Van Dusen Rd
Suite 390
Laurel, MD 20707-5263

Mailing address

7350 Van Dusen Rd
Suite 390
Laurel, MD 20707-5263
Phone (301) 604-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100813000191 DC Practitioner - Family Practice 3375677339 Reassigns benefits to 4 organizations
I20101112000751 MD Practitioner - Family Practice 3375677339 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7350 Van Dusen Rd
Suite 390
Laurel, MD 20707-5231
Phone (301) 604-8000

Hospital & facility affiliations

  • Autumn Lake Healthcare at Chevy Chase Nursing home, Chevy Chase, MD, CCN 215029
  • Autumn Lake Healthcare at Cherry Lane Nursing home, Laurel, MD, CCN 215177
  • Larkin Chase Center Nursing home, Bowie, MD, CCN 215264
  • Autumn Lake Healthcare at Silver Spring Nursing home, Silver Spring, MD, CCN 215224
  • Autumn Lake Healthcare at Patuxent River Nursing home, Laurel, MD, CCN 215141

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D71264MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Eldercare Physician Services LLC CurrentSince Jul 9, 2024 Accepting new patients
Alignmed Medical Group, PC CurrentSince Sep 11, 2024 Accepting new patients
Alignmed Partners, PC CurrentSince Jul 9, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
14200 Laurel Park Drive Opco LLC Past Accepting new patients
Cherry Lane Operating Group LLC Past Accepting new patients
Hospitalist Medicine Physicians of Front Royal, LLC Past Accepting new patients
Tlay Health Care Services,Inc. PastSince Mar 19, 2023 Accepting new patients
Hyattsville Nursing and Rehabilitation Center LLC Past Accepting new patients
2501 Musgrove Road Opco LLC Past Accepting new patients
Adelphi Nursing and Rehabilitation Center LLC Past Accepting new patients
Bowie Center Limited Partnership Past Accepting new patients
8700 Jones Mill Road Opco LLC Past Accepting new patients

Locations

3330 Wilkens Ave
Baltimore, MD 21229
Phone (410) 525-1544

7520 Surratts Rd
Clinton, MD 20735
Phone (301) 856-1600

347 Ballenger Center Dr
Frederick, MD 21703
Phone (301) 633-5181

1801 Wentworth Rd
Parkville, MD 21234
Phone (410) 661-5717

9200 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 390-2600

310 Genesis Way
Ste 600
Severna Park, MD 21146
Phone (410) 544-4220

2101 Fairland Rd
Silver Spring, MD 20904
Phone (301) 384-6161

3227 Bel Pre Rd
Silver Spring, MD 20906
Phone (301) 871-2000

Interoperability endpoints

  • Direct secure messaging: uunegbu@roseumedicalcenter.kareodirect.com

Organizations & group practices 15

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 15

Hospital & facility affiliations 5

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": "1194220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486944000000",
    "number": "1104006360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7350 VAN DUSEN RD",
            "address_2": "SUITE 390",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075263",
            "telephone_number": "301-604-8000",
            "fax_number": "301-604-4406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7350 VAN DUSEN RD",
            "address_2": "SUITE 390",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075263",
            "telephone_number": "301-604-8000",
            "fax_number": "301-604-4406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNEGBU",
        "first_name": "UZOCHUKWU",
        "middle_name": "WILFRED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-05",
        "last_updated": "2017-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D71264",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DC",
            "license": "MD039026",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

Verify at the official NPI Registry.