NPIMap

Organization Active NPI

Inclusive Health Corporation

  • Obesity Medicine (Internal Medicine) Physician
  • Glenn Dale, MD
National Provider Identifier
1194041780
Registry record updated May 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Internal Medicine) PhysicianTaxonomy code 207RB0002X
License
D43351 Issued in MD
Legal business name
INCLUSIVE HEALTH CORPORATION
Practice address
12200 Annapolis Rd Ste 316
Glenn Dale, MD 20769-9182
Phone
(301) 313-0600
Fax
(301) 313-0603
NPI assigned
Apr 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2015

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

Authorized official

Name
Dr. Ikechi Fred Okwara, M.D.NPI 1265472567
Title
President
Phone
(301) 313-0600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RB0002X D43351 MD Primary

Addresses

Primary practice location

12200 Annapolis Rd Ste 316
Glenn Dale, MD 20769-9182

Mailing address

12200 Annapolis Rd Ste 316
Glenn Dale, MD 20769-9182
Phone (301) 313-0600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110221000072 DC Part B Supplier - Clinic/Group Practice 9830379320 Receives reassigned benefits from 6 practitioners
Practice locations: Glenn Dale, MD
O20150513002247 MD Part B Supplier - Clinic/Group Practice 9830379320 Receives reassigned benefits from 5 practitioners
Practice locations: Annapolis, MD

National Provider Directory

National Provider Directory

Locations

12200 Annapolis Rd
Ste 316
Glenn Dale, MD 20769
Phone (301) 313-0600

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1270684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431475200000",
    "number": "1194041780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12200 ANNAPOLIS RD STE 316",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699182",
            "telephone_number": "301-313-0600",
            "fax_number": "301-313-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 ANNAPOLIS RD STE 316",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699182",
            "telephone_number": "301-313-0600",
            "fax_number": "301-313-0603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INCLUSIVE HEALTH CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-08",
        "last_updated": "2015-05-13",
        "status": "A",
        "authorized_official_last_name": "OKWARA",
        "authorized_official_first_name": "IKECHI",
        "authorized_official_middle_name": "FRED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-313-0600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RB0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": "MD",
            "license": "D43351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenn Dale, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.