Okechukwu A Nwodim, D.O

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

H0058158 Issued in MD

Practice address

7700 Old Branch Ave
Ste B201
Clinton, MD 20735-1628

Phone

(301) 868-0150

Fax

(301) 868-0243

NPI assigned

Jan 5, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Family Practice

Education

West Virginia School of Osteopathic Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Primary Medicine LLCGroup PAC ID 6709001449, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nwodim.okechukwu.013.0200024@smmg.meditab.direct-ci.com
• Direct secure messaging: okechukwu.nwodim.1@27478.direct.athenahealth.com

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.

• Primary Medicine LLC

  • Family Medicine Physician
  • Laurel, MD
  • NPI 1841617941

  DC

  Medicare reassignment Care Compare group NPD
• Sage Health Maryland LLC

  • Primary Care Clinic/Center
  • Woodlawn, MD
  • NPI 1770294324
  Medicare reassignment
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Harford on-Call Medical Services, LLC

  • Specialist
  • Edgewood, MD
  • NPI 1699944496
  NPD (past)

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1144377490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8116 GOOD LUCK RD",
            "address_2": "STE 305",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063502",
            "telephone_number": "301-868-0150",
            "fax_number": "301-868-0243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 OLD BRANCH AVE",
            "address_2": "STE B201",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207351628",
            "telephone_number": "301-868-0150",
            "fax_number": "301-868-0243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWODIM",
        "first_name": "OKECHUKWU",
        "middle_name": "A",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "H0058158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northrium Health LLC
• Bahru Shikure Nure, DDS
• Nurses Staffing Nurses LLC
• Adaku U. Nwachuku, D.O.
• Ihuoma C. Nwajei, O.D.
• Frankline Ngozi Obi I
• Lawretta Obodo
• Obstacles Under Recovery, LLC
• Gwendolyn Renee Ocasio, CRNA
• Joanne Ocasio, LCSW

• Family Medicine Physician in Clinton, MD
• Providers in Clinton, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.