Organization Active NPI

Disparity Healthcare LLC

  • Urgent Care Clinic/Center
  • Temple Hills, MD
National Provider Identifier
1184463093
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
DISPARITY HEALTHCARE LLC
Practice address
5128 Saint Barnabas Rd
Temple Hills, MD 20748-5856
Phone
(301) 337-2484
NPI assigned
May 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Authorized official

Name
Osazee Osagie
Title
Ceo
Phone
(202) 390-7105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

5128 Saint Barnabas Rd
Temple Hills, MD 20748-5856

Mailing address

9812 Falls Rd # 114-238
Potomac, MD 20854-3976

Other names 1

  • AI Urgent Care Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2313006Disparity Healthcare LLC Dba Dr Jones Urgent Care5128 Saint Barnabas Rd, Temple Hills, MD 20748Certificate of waiverOct 22, 2026

National Provider Directory

National Provider Directory

Locations

9812 Falls Rd
#114238
Potomac, MD 20854

NPI Registry JSON

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

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1184463093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9812 FALLS RD # 114-238",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208543976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5128 SAINT BARNABAS RD",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207485856",
            "telephone_number": "301-337-2484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISPARITY HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "OSAGIE",
        "authorized_official_first_name": "OSAZEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "202-390-7105"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AI Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Temple Hills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.