Active NPI
Edwin Nwogu, CRNP
- Primary Care Nurse Practitioner
- Bowie, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- R156589
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| R156589 | MD | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bhmat Consulting LLC | Current | Accepting new patients | |
| Ritu Bhambhani LLC | Current | 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
- 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.
-
- Specialist
- Abingdon, MD
- NPI 1316133457
-
- Internal Medicine Physician
- Baltimore, MD
- NPI 1013005016
-
- Family Nurse Practitioner
- Bowie, MD
- NPI 1437945326
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.