Nwaehihie Harrison Onyeaghala, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

D0053461 Issued in MD

Practice address

12150 Annapolis Rd Ste 100
Glenn Dale, MD 20769-9183

Phone

(301) 464-7601

Fax

(866) 885-9817

NPI assigned

Aug 10, 2006

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

Other identifiers 1

Other names 1

• Nwaehihie H Onyeaghala Professional name

Medicare fee-for-service enrollment

Enrolled in DC

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 1

Specialty

Internal Medicine

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Krystal Medical Associates LLCGroup PAC ID 8426247339, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Krystal Medical Associates LLC

  dba Krystal Medical Associates

  • Primary Care Clinic/Center
  • Glenn Dale, MD
  • NPI 1164604187

  DC

  Medicare reassignment Care Compare group Authorized official
• Krystal Medical Associates

  • In Home Supportive Care Agency
  • Annandale, VA
  • NPI 1578248787
  NPD Authorized official
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1114938800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7321",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207927321",
            "telephone_number": "301-464-7601",
            "fax_number": "866-885-9817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12150 ANNAPOLIS RD STE 100",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699183",
            "telephone_number": "301-464-7601",
            "fax_number": "866-885-9817"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 Pennsylvania Ave SE Ste 450",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200034374",
            "country_code": "US",
            "telephone_number": "301-464-7601",
            "fax_number": "866-885-9817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ONYEAGHALA",
        "first_name": "NWAEHIHIE",
        "middle_name": "HARRISON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MD",
            "license": "D0053461",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "01011221463",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "01011221463",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "402647100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NWAEHIHIE",
            "last_name": "ONYEAGHALA",
            "middle_name": "H",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Agnes Oluyemi, RN
• Phillip H Omohundro, M.D.
• Rachael Omole
• Parfait Eloundou Onana
• Nneka Onuzulike, PMHNP-BC
• Clara Ifeoma Onyeiwu, NP-FAMILY
• Pamela Fru Tange Oriaifo
• Patience Orji
• Patricia Adaobi Oladunni Oshodi, M.D.
• Vanessa Osula, DNP, RN, AGPCNP-BC

• General Practice Physician in Glenn Dale, MD
• Providers in Glenn Dale, MD by specialty
• General Practice Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; 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.