Individual provider Active NPI

Ndidi Obichere, D.O

  • Family Medicine Physician
  • Baltimore, MD
National Provider Identifier
1124373642
Registry record updated Nov 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H75358 Issued in MD
Practice address
3700 Fleet St
Ste 200
Baltimore, MD 21224-4200
Phone
(410) 558-4900
Fax
(410) 522-5070
NPI assigned
Jul 20, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2015

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 C20010184 DE
Family Medicine Physician 207Q00000X H75358 MD Primary

Addresses

Primary practice location

3700 Fleet St
Ste 200
Baltimore, MD 21224-4200

Mailing address

3501 Sinclair Lane
Baltimore, MD 21213-2037
Phone (410) 762-8800

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: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130523000340 MD Practitioner - Family Practice 9638317191 Reassigns benefits to 1 organization
I20200820002688 DC Practitioner - Family Practice 9638317191 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio University, College of Osteopathic Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Owensville Primary Care, IncGroup PAC ID 0244229474, shared by 3 NPIs, 4 clinicians

Practice addresses (Care Compare)

134 Owensville Rd
West River, MD 20778-9702
Phone (410) 867-4700

Hospital & facility affiliations

  • Homecall Home health agency, Easton, MD, CCN 217066

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C20010184DEMDFamily Medicine Physician
H75358MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mary'S Center for Maternal and Child Care Inc CurrentSince Apr 22, 2020 Accepting new patients
Owensville Primary Care,Inc Family Medicine CurrentSince May 1, 2024 Accepting new patients
Marys Center for Maternal and Child Care Inc CurrentSince Apr 22, 2020 Accepting new patients
Mary'S Center for Maternal and Child Care, Inc Current Accepting new patients
Owensville Primary Care, Inc Family Medicine CurrentSince May 1, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2333 Ontario Rd NW
Washington, DC 20009
Phone (202) 420-7175

5408 Southern Maryland Blvd
Unit 7
Lothian, MD 20711
Phone (410) 867-4700

344 University Blvd W
Silver Spring, MD 20901
Phone (301) 439-0300

134 Owensville Rd
West River, MD 20778
Phone (410) 867-4700

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IFBBDA

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1342742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446768000000",
    "number": "1124373642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 SINCLAIR LANE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212132037",
            "telephone_number": "410-762-8800",
            "fax_number": "410-534-2392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 FLEET ST",
            "address_2": "STE 200",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212244200",
            "telephone_number": "410-558-4900",
            "fax_number": "410-522-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBICHERE",
        "first_name": "NDIDI",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-20",
        "last_updated": "2015-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C20010184",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "H75358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.