Individual provider Active NPI

Oyije Susan Iheagwara, MD

  • Nephrology Physician
  • Washington, DC
National Provider Identifier
1174705149
Registry record updated Nov 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD038844 Issued in DC
Practice address
2041 Georgia Ave NW
Washington, DC 20060-0001
Phone
(202) 865-6620
NPI assigned
Dec 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD445700 PA
Internal Medicine Physician 207R00000X MD445700 PA
Nephrology Physician 207RN0300X MD038844 DC Primary
Nephrology Physician 207RN0300X D0076497 MD

Addresses

Primary practice location

2041 Georgia Ave NW
Washington, DC 20060-0001

Mailing address

2041 Georgia Ave NW
Washington, DC 20060-0001

Other identifiers 5

IdentifierTypeStateIssuer
30122860OtherPAAMERIHEALTH MERCY - WMG
418683OtherPAUPMC
102724100MedicaidPA
P01110056OtherPARAILROAD MEDICARE
2718719OtherPAHIGHMARK BLUE SHIELD

Other names 1

  • Oyije Susan Ogezi Former name

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140304001103 DC Practitioner - NephrologyPractitioner - Internal Medicine 4486819612 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metro Renal Associates, PLLC 3 clinicians

Practice addresses (Care Compare)

106 Irving St NW St
Suite 2500
Washington, DC 20010-2961
Phone (202) 877-5408

Hospital & facility affiliations

  • Bma - Columbia Heights Dialysis facility, Washington, DC, CCN 092503
  • Fresenius Kidney Care Fairmount Heights Dialysis facility, Capitol Heights, MD, CCN 212745
  • DaVita Grant Park Dialysis Dialysis facility, Washington, DC, CCN 092522
  • Bma - Camp Springs Dialysis facility, Suitland, MD, CCN 212501
  • Capital Region Dialysis Clinic LLC Dialysis facility, Landover, MD, CCN 212729
  • Medstar Washington Hospital Center Hospital, Washington, DC, CCN 090011
  • University of MD Capital Region Medical Center Hospital, Upper Marlboro, MD, CCN 210003
  • Cedar Hill Regional Medical Center Hospital, Washington, DC, CCN 090012

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD038844DCMDNephrology Physician
D0076497MDMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Howard University Internal Medicine CurrentSince Jun 8, 2015 Accepting new patients
Metro Renal Associates, PLLC Nephrology CurrentSince May 1, 2022 Accepting new patients
Fresenius Medical Care Fairmount Heights, LLC PastSince Nov 22, 2020 Accepting new patients

Locations

2041 Georgia Ave NW
Washington, DC 20060
Phone (202) 865-3785

106 Irving St NW
Ste 2500
Washington, DC 20010
Phone (202) 877-5408

6301 Walker Mill Rd
Capitol Heights, MD 20743
Phone (202) 877-5408

2101 Medical Park Dr
Ste 305
Silver Spring, MD 20902
Phone (301) 754-0833

Interoperability endpoints

  • Direct secure messaging: oiheagwara927249@direct.umm.edu

Organizations & group practices 3

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 7

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": "1196640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447113600000",
    "number": "1174705149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2041 GEORGIA AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200600001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 GEORGIA AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200600001",
            "telephone_number": "202-865-6620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IHEAGWARA",
        "first_name": "OYIJE",
        "middle_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-03",
        "last_updated": "2015-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD445700",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD445700",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "DC",
            "license": "MD038844",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MD",
            "license": "D0076497",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH MERCY - WMG",
            "identifier": "30122860",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "418683",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102724100",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01110056",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "2718719",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OYIJE",
            "last_name": "OGEZI",
            "middle_name": "SUSAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.