Individual provider Active NPI

Ursula Denise Poydras, MD

  • Specialist
  • Lanham, MD
National Provider Identifier
1316030281
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D42448 Issued in MD
Practice address
9821 Greenbelt Rd
Suite 206
Lanham, MD 20706-2269
Phone
(301) 552-5862
Fax
(301) 552-5864
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 00D42448 MD
Adolescent Medicine (Internal Medicine) Physician 207RA0000X 00D42448 MD
Pediatrics Physician 208000000X D42448 MD
Specialist 174400000X D42448 MD Primary

Addresses

Primary practice location

9821 Greenbelt Rd
Suite 206
Lanham, MD 20706-2269

Mailing address

9821 Greenbelt Rd
Suite 206
Lanham, MD 20706-2265
Phone (301) 552-5862

Other identifiers 2

IdentifierTypeStateIssuer
757841500MedicaidMD
562627117OtherMDTAX ID

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
I20080929000087 DC Practitioner - Internal MedicinePractitioner - Family PracticePractitioner - Pediatric Medicine 8224105556 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Howard University College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9821 Greenbelt Rd
Suite 206
Lanham, MD 20706-2269
Phone (301) 552-5862

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00D42448MDMDAdolescent Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ursula D. Poydras, MD, LLC CurrentSince Sep 3, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

9821 Greenbelt Rd
Lanham, MD 20706
Phone (301) 220-3500

9821 Greenbelt Rd
Ste 206
Lanham, MD 20706
Phone (301) 552-5862

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1316030281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9821 GREENBELT RD",
            "address_2": "SUITE 206",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207062265",
            "telephone_number": "301-552-5862",
            "fax_number": "301-552-5864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9821 GREENBELT RD",
            "address_2": "SUITE 206",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207062269",
            "telephone_number": "301-552-5862",
            "fax_number": "301-552-5864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POYDRAS",
        "first_name": "URSULA",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "00D42448",
            "primary": false
        },
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "MD",
            "license": "00D42448",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D42448",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D42448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "757841500",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "562627117",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

Verify at the official NPI Registry.