Gregory Anyinam Obiwuma, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

NP1016444 Issued in DC

Practice address

1818 New York Ave NE Ste 233
Washington, DC 20002-1848

Phone

(202) 706-4428

Fax

(800) 648-0573

NPI assigned

Jan 23, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in DC

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 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• New Era Recovery and Behavioral Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Washington, DC
  • NPI 1558025726
  Medicare reassignment NPD Authorized official
• Mental Health Specialty Group PA

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  DC

  Medicare reassignment NPD
• Privium Consultants LLC

  • Pain Medicine (Anesthesiology) Physician
  • Clinton, MD
  • NPI 1386171510

  DC

  Medicare reassignment NPD
• New Era Recovery and Behavioral Health LLC

  • Mental Health Counselor
  • Washington, DC
  • NPI 1932089307
  NPD Authorized official

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1164052692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 NEW YORK AVE NE STE 233",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200021848",
            "telephone_number": "202-706-4428",
            "fax_number": "800-648-0573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 NEW YORK AVE NE STE 233",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200021848",
            "telephone_number": "202-706-4428",
            "fax_number": "800-648-0573"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1418 Good Hope Rd SE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200205615",
            "country_code": "US",
            "telephone_number": "202-558-2448",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2811 Pennsylvania Ave SE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200203865",
            "country_code": "US",
            "telephone_number": "202-894-6811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OBIWUMA",
        "first_name": "GREGORY",
        "middle_name": "ANYINAM",
        "name_prefix": "Mr.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-23",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DC",
            "license": "NP1016444",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DC",
            "license": "RN1016444",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2407922",
            "state": "DC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Obiwuma",
            "affiliation": "N",
            "address_1": "1818 New York Ave NE Ste 233",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200021848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lotanna Obiora, M.D.
• Foluso Ayodapo Jabulani Obisanya, MBBCH
• Olalekan Adewale Obisanya
• Odunayo Abiodun Obisesan, PHARM.D, CGP
• Thomas Obisesan, MD
• Joe Obiwuru
• Kingsley Obiwuru
• Maureen Adabueze Obiwuru
• Delasi Obobi
• Anita Obodo, MD

• Psychiatric/Mental Health Nurse Practitioner in Washington, DC
• Providers in Washington, DC by specialty
• Psychiatric/Mental Health Nurse Practitioner in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.