Individual provider Active NPI

Edwin Nwogu, CRNP

  • Primary Care Nurse Practitioner
  • Bowie, MD
National Provider Identifier
1124712435
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
R156589 Issued in MD
Practice address
4000 Mitchville Road
Bowie, MD 20716
Phone
(301) 257-5489
NPI assigned
Jun 8, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X R156589 MD Primary

Addresses

Primary practice location

4000 Mitchville Road
Bowie, MD 20716

Mailing address

5007 Lincoln Ave
Beltsville, MD 20705-1532
Phone (202) 431-6747

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: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250508003589 MD Practitioner - Nurse Practitioner 3577080993 Reassigns benefits to 5 organizations
I20250815004386 DC Practitioner - Nurse Practitioner 3577080993 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bhmat Consulting LLCGroup PAC ID 9335590439, 7 clinicians

Practice addresses (Care Compare)

6415 Rockhurst Rd
Bethesda, MD 20817-1637
Phone (561) 502-3978

716 Maiden Choice LN
Suite 302
Catonsville, MD 21228-5960
Phone (561) 502-3978

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R156589MDMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bhmat Consulting LLC CurrentSince Aug 1, 2025 Accepting new patients
Ritu Bhambhani LLC CurrentSince May 1, 2025 Accepting new patients

Locations

100 Walter Ward Blvd
Ste 300
Abingdon, MD 21009
Phone (410) 569-3333

100 Walter Ward Blvd
Ste 3
Abingdon, MD 21009
Phone (410) 569-3333

716 Maiden Choice Ln
Ste 302B
Catonsville, MD 21228

716 Maiden Choice Ln
Ste 302
Catonsville, MD 21228
Phone (410) 747-0626

Interoperability endpoints

  • Direct secure messaging: edwin.nwogu@3520.securemail.prognocis.com

Organizations & group practices 5

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": "1686182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1124712435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5007 LINCOLN AVE",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207051532",
            "telephone_number": "202-431-6747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 MITCHVILLE ROAD",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "20716",
            "telephone_number": "301-257-5489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWOGU",
        "first_name": "EDWIN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MD",
            "license": "R156589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

Verify at the official NPI Registry.