Individual provider Active NPI

Raymond O Nwadiuko, MD

  • Allergy Physician
  • Lanham, MD
National Provider Identifier
1255387288
Registry record updated Oct 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
M34279 Issued in MD
Practice address
9831 Greenbelt Rd
Suite 101
Lanham, MD 20706-2202
Phone
(301) 552-4100
Fax
(301) 552-1700
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X M34279 MD Primary

Addresses

Primary practice location

9831 Greenbelt Rd
Suite 101
Lanham, MD 20706-2202

Mailing address

9831 Greenbelt Rd
Suite 101
Lanham, MD 20706-2202
Phone (301) 552-4100

Other identifiers 1

IdentifierTypeStateIssuer
522090806OtherMDTAX ID

Other names 1

  • Dr. Raymond Okechukwu Nwadiuko Other 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
I20060509001045 DC Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 3274544903 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
Other, 1986
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

9831 Greenbelt Rd
Suite 101
Lanham, MD 20706-6211
Phone (301) 552-4100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M34279MDMDAllergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Raymond Nwadiuko MD,PA CurrentSince May 24, 2010 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

9831 Greenbelt Rd
Ste 102
Lanham, MD 20706
Phone (301) 552-4100

9831 Greenbelt Rd
Ste 101
Lanham, MD 20706
Phone (301) 552-4100

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JHBAAA/Endpoint/JHBAAA

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381795200000",
    "number": "1255387288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9831 GREENBELT RD",
            "address_2": "SUITE 101",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207062202",
            "telephone_number": "301-552-4100",
            "fax_number": "301-552-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9831 GREENBELT RD",
            "address_2": "SUITE 101",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207062202",
            "telephone_number": "301-552-4100",
            "fax_number": "301-552-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWADIUKO",
        "first_name": "RAYMOND",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2013-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "MD",
            "license": "M34279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "522090806",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAYMOND",
            "last_name": "NWADIUKO",
            "middle_name": "OKECHUKWU",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lanham, MD

Sources for this page

Verify at the official NPI Registry.