Individual provider Active NPI

Hawa Massaquoi Osime, MD

  • Internal Medicine Physician
  • White Plains, MD
National Provider Identifier
1154539815
Registry record updated May 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D81699 Issued in MD
Practice address
4225 Altamont PL Ste 201
White Plains, MD 20695
Phone
(240) 607-1500
Fax
(410) 367-2215
NPI assigned
May 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101242755 VA
Pediatrics Physician 208000000X 0101242755 VA
Internal Medicine Physician 207R00000X D81699 MD Primary

Addresses

Primary practice location

4225 Altamont PL Ste 201
White Plains, MD 20695

Mailing address

9910 Franklin Square Dr # 2110
Baltimore, MD 21236-4902
Phone (410) 933-5412

Other identifiers 1

IdentifierTypeStateIssuer
359748OtherVAANTHEM

Other names 1

  • Hawa Samanya Massaquoi Former name

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
I20160721002356 MD Practitioner - Internal Medicine 0345315552 Reassigns benefits to 4 organizations
I20171107000508 DC Practitioner - Internal Medicine 0345315552 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wayne State University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

29955 Three Notch Rd
100 MMG at Charlotte Hall
Charlotte Hall, MD 20622-3159
Phone (301) 290-5300

Hospital & facility affiliations

  • Medstar Southern Maryland Hospital Center Hospital, Clinton, MD, CCN 210062
  • Calvert County Nursing Ctr. Nursing home, Prince Frederick, MD, CCN 215188

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D81699MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins Community Physicians, Inc CurrentSince May 1, 2021 Accepting new patients
Privia Medical Group, LLC Internal Medicine CurrentSince Jun 23, 2016 Accepting new patients
Medstar Medical Group II LLC CurrentSince Sep 2, 2024 Accepting new patients
Johns Hopkins Community Physicians, Inc Internal Medicine Current Accepting new patients
Johns Hopkins Community Physicians, Inc Internal Medicine CurrentSince Sep 18, 2017 Accepting new patients
Medstar Medical Group II LLC Internal Medicine CurrentSince Sep 2, 2024 Accepting new patients
Johns Hopkins Community Physicians, Inc Internal Medicine CurrentSince Sep 18, 2017 Accepting new patients
Johns Hopkins Community Physicians Internal Medicine CurrentSince Sep 18, 2017 Accepting new patients
Privia Medical Group, LLC CurrentSince Jun 23, 2016 Accepting new patients
White Plains Health Care LLC Past Accepting new patients
Oasis Nursing & Rehab LLC Past Accepting new patients

Locations

133 Defense Hwy
Ste 112
Annapolis, MD 21401
Phone (410) 573-0140

1000 E Eager St
Baltimore, MD 21202
Phone (410) 522-9800

29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300

1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440

14207 Park Center Dr
Ste 102
Laurel, MD 20707
Phone (301) 604-5254

9910 Franklin Square Dr
#2110
Nottingham, MD 21236
Phone (410) 933-5412

11350 Pembrooke Sq
Ste 304
Waldorf, MD 20603
Phone (301) 856-2810

4225 Altamont Pl
Ste 102
White Plains, MD 20695
Phone (301) 870-9900

4225 Altamont Pl
Ste 201
White Plains, MD 20695
Phone (240) 585-7128

4224 Altamont PL Ste 201
Ste 201
White Plains, MD 20695
Phone (240) 607-1500

950 N Glebe Rd
Ste 4000
Arlington, VA 22203
Phone (301) 593-9011

Organizations & group practices 12

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 2

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": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527552000000",
    "number": "1154539815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9910 FRANKLIN SQUARE DR # 2110",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212364902",
            "telephone_number": "410-933-5412",
            "fax_number": "410-933-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 ALTAMONT PL STE 201",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "20695",
            "telephone_number": "240-607-1500",
            "fax_number": "410-367-2215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSIME",
        "first_name": "HAWA",
        "middle_name": "MASSAQUOI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2018-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101242755",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101242755",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D81699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "359748",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HAWA",
            "last_name": "MASSAQUOI",
            "middle_name": "SAMANYA",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in White Plains, MD

Sources for this page

Verify at the official NPI Registry.