Active NPI
Ursula Denise Poydras, MD
- Specialist
- Lanham, MD
National Provider Identifier
1316030281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- D42448
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 757841500 | Medicaid | MD | |
| 562627117 | Other | MD | TAX 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 00D42448 | MD | MD | Adolescent Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ursula D. Poydras, MD, LLC | Current | 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.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.