Individual provider Active NPI

Nneoma M Oguguo, NP

  • Family Nurse Practitioner
  • Takoma Park, MD
National Provider Identifier
1104381904
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R145711 Issued in MD
Practice address
7676 New Hampshire Ave Ste 420
Takoma Park, MD 20912-7516
Phone
(240) 552-0267
NPI assigned
Feb 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R145711 MD Primary

Addresses

Primary practice location

7676 New Hampshire Ave Ste 420
Takoma Park, MD 20912-7516

Mailing address

2504 Somerton CT
Bowie, MD 20721-2979
Phone (240) 552-0267

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
I20210728003286 DC Practitioner - Nurse Practitioner 4688077688 Reassigns benefits to 1 organization
I20231127002790 MD Practitioner - Nurse Practitioner 4688077688 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

110 Painters Mill Rd
Suite 106
Owings Mills, MD 21117-5251
Phone (240) 552-0267

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ez Health Care Services CurrentSince Oct 14, 2023 Accepting new patients
Rahel G. Yirga MD PC CurrentSince Jun 20, 2021 Accepting new patients
Ez Health Care Services CurrentSince Nov 12, 2023 Accepting new patients

Locations

110 Painters Mill Rd
Ste 106
Owings Mills, MD 21117
Phone (240) 552-0267

6035 Burke Centre Pkwy
Ste 390
Burke, VA 22015
Phone (703) 978-0756

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": "1549324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1104381904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 SOMERTON CT",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207212979",
            "telephone_number": "240-552-0267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7676 NEW HAMPSHIRE AVE STE 420",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209127516",
            "telephone_number": "240-552-0267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGUGUO",
        "first_name": "NNEOMA",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-05",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R145711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Takoma Park, MD

Sources for this page

Verify at the official NPI Registry.