Individual provider Active NPI

Joseph Maxwell Oppong Jr., MD

  • Interventional Pain Medicine Physician
  • Bowie, MD
National Provider Identifier
1174664007
Registry record updated Nov 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
D0066706 Issued in MD
Practice address
6911 Laurel Bowie Rd
Ste 212
Bowie, MD 20715-1712
Phone
(301) 755-9500
Fax
(301) 747-6017
NPI assigned
Feb 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X D0066706 MD
Pain Medicine (Anesthesiology) Physician 207LP2900X MD039935 DC
Pain Medicine (Anesthesiology) Physician 207LP2900X D0066706 MD
Interventional Pain Medicine Physician 208VP0014X D0066706 MD Primary

Addresses

Primary practice location

6911 Laurel Bowie Rd
Ste 212
Bowie, MD 20715-1712

Mailing address

6911 Laurel Bowie Rd
Ste 212
Bowie, MD 20715-1712
Phone (301) 755-9500

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
I20090917000262 MD Practitioner - Anesthesiology 3678629540 Reassigns benefits to 4 organizations
I20120320000404 DC Practitioner - AnesthesiologyPractitioner - Interventional Pain ManagementPractitioner - Pain Management 3678629540 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Emory University School of Medicine, 2004
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Providence Pain Management Center, P.a.Group PAC ID 3678892486, 5 clinicians

Practice addresses (Care Compare)

201 Pine Bluff Rd
Suite 1
Salisbury, MD 21801-7163
Phone (410) 648-2000

6911 Laurel Bowie Rd
Suite 212
Bowie, MD 20715-1712
Phone (301) 755-9500

Hospital & facility affiliations

  • Tidalhealth Peninsula Regional, Inc Hospital, Salisbury, MD, CCN 210019

Merit-based Incentive Payment System (MIPS)

Final score
26.99 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
89.97

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0066706MDMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
O.Ochi MD PC Interventional Pain Medicine CurrentSince Jan 26, 2026 Accepting new patients
Providence Pain Management Center, P.a. Pain Medicine CurrentSince Feb 21, 2015 Accepting new patients
Providence Pain Management Center, P.a. Pain Medicine CurrentSince Jul 14, 2014 Accepting new patients
O.Ochi MD PC Pain Medicine CurrentSince Jan 26, 2026 Accepting new patients
Providence Health Services, Inc Anesthesiology Past Accepting new patients
Providence Pain Management Center, P.a. Past Accepting new patients
Frederick Health Hospital Inc Interventional Pain Medicine Past Accepting new patients

Locations

6911 Laurel Bowie Rd
Ste 212
Bowie, MD 20715
Phone (301) 464-3400

201 Pine Bluff Rd
Ste 1
Salisbury, MD 21801
Phone (410) 248-2000

Organizations & group practices 9

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 1

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": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511740800000",
    "number": "1174664007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6911 LAUREL BOWIE RD",
            "address_2": "STE 212",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207151712",
            "telephone_number": "301-755-9500",
            "fax_number": "301-747-6017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6911 LAUREL BOWIE RD",
            "address_2": "STE 212",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207151712",
            "telephone_number": "301-755-9500",
            "fax_number": "301-747-6017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPPONG",
        "first_name": "JOSEPH",
        "middle_name": "MAXWELL",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2017-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "D0066706",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "DC",
            "license": "MD039935",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MD",
            "license": "D0066706",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MD",
            "license": "D0066706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

Verify at the official NPI Registry.