Kingsley C. Odimegwu, PHMNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R251564 Issued in MD

Practice address

6475 New Hampshire Ave
Hyattsville, MD 20783-3269

Phone

(301) 270-0058

NPI assigned

Jul 6, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Columbia Associates in Psychiatry PCGroup PAC ID 7113165739, 127 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Columbia Associates in Psychiatry PC

  • Psychiatry Physician
  • Arlington, VA
  • NPI 1699012930

  DC, MD, Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Prosper Health and Behavioral Care Services

  • Psychiatry Physician
  • Windsor Mill, MD
  • NPI 1801572722
  Medicare reassignment NPD
• Columbia Associates in Psychiatry PC

  • Psychiatry Physician
  • Bowie, MD
  • NPI 1235007360

  Psychiatric/Mental Health

  NPD
• Prosper Health and Behavioral Care Services

  • Psychiatry Physician
  • Windsor Mill, MD
  • NPI 1588400030
  NPD

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

{
    "created_epoch": "1720224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1114763380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4427 7TH ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6475 NEW HAMPSHIRE AVE",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207833269",
            "telephone_number": "301-270-0058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODIMEGWU",
        "first_name": "KINGSLEY",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "PHMNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-06",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "DC",
            "license": "RN1041013",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DC",
            "license": "NP1041013",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R251564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noelar Asakwa Obad
• Ayesha Obaid Khan
• Larry Obi
• Anthonia Ego Obichere, CNM
• Edith U Oche
• Luwaji Oduleye, MBBCH
• Rina Lovo Offman
• Tsuepoupno Ofon
• Harriet Oforiboakye
• Olaide Ogbe

• Psychiatric/Mental Health Nurse Practitioner in Hyattsville, MD
• Providers in Hyattsville, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.