Active NPI
Ifeoma Okadigbo
- Nephrology Physician
- Upper Marlboro, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- MD047347
- Practice address
- 9662 Pennsylvania Ave
Upper Marlboro, MD 20772 - Phone
- (301) 599-1500
- NPI assigned
- Apr 7, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | D0087359 | MD | |
| Nephrology Physician | 207RN0300X | MD047347 | DC | Primary |
Addresses
Primary practice location
9662 Pennsylvania Ave
Upper Marlboro, MD 20772
Mailing address
9662 Pennysylvania Avenue
Upper Marlboro, MD 20772
Phone (301) 599-1500
Other practice location 1
9662 Pennsylvania Ave
Upper Marlboro, MD 20772
Phone (301) 599-1500
Other practice location 2
9662 Pennsylvania Ave
Upper Marlboro, MD 20772
Phone (301) 599-1500
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
110 Irving St NW
Washington, DC 20010-3017
Phone (202) 877-9875
1221 Mercantile LN
Largo, MD 20774-5374
Phone (301) 618-5700
12255 Fair Lakes Pkwy
Fairfax, VA 22033-3952
Phone (703) 237-4800
5100 Auth Way
Suitland, MD 20746-4207
Phone (301) 702-5000
6104 Old Branch Ave
Temple Hills, MD 20748-2518
Phone (301) 702-6100
7070 Samuel Morse Dr
Columbia, MD 21046-3424
Phone (410) 309-4600
7670 Quarterfield Rd
Glen Burnie, MD 21061-3947
Phone (410) 508-7650
Hospital & facility affiliations
- DaVita Largo Town Center Dialysis
- Holy Cross Hospital
- Luminis Health Doctors Community Medical Ctr, Inc
- Medstar Washington Hospital Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD047347 | DC | MD | Nephrology Physician |
| D0087359 | MD | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nephrology Associates LLC | Nephrology | Current | Accepting new patients |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current | Accepting new patients |
Locations
2101 E Jefferson St
Ste 6WPPQA
Rockville, MD 20852
Phone (301) 816-5853
1221 Mercantile Ln
Upper Marlboro, MD 20774
Phone (301) 618-5500
9662 Marlboro Pike
Uppr Marlboro, MD 20772
Phone (301) 567-9245
Organizations & group practices 5
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.
-
- Health Maintenance Organization
- Annapolis, MD
- NPI 1952461816
DC
-
- Health Maintenance Organization
- Halethorpe, MD
- NPI 1043378656
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Rockville, MD
- NPI 1962108753
-
- Health Maintenance Organization
- MC Lean, VA
- NPI 1376815472
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Largo, MD
- NPI 1144607839
Dialysis facility
-
- General Acute Care Hospital
- Silver Spring, MD
- NPI 1669417838
-
- General Acute Care Hospital
- Lanham, MD
- NPI 1730136532
-
- General Acute Care Hospital
- Washington, DC
- NPI 1548378235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698192000000",
"number": "1316366388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9662 PENNYSYLVANIA AVENUE",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "20772",
"telephone_number": "301-599-1500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9662 PENNSYLVANIA AVE",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "20772",
"telephone_number": "301-599-1500"
}
],
"practiceLocations": [
{
"address_1": "9662 Pennsylvania Ave",
"address_purpose": "LOCATION",
"city": "Upper Marlboro",
"state": "MD",
"postal_code": "20772",
"country_code": "US",
"telephone_number": "301-599-1500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9662 Pennsylvania Ave",
"address_purpose": "LOCATION",
"city": "Upper Marlboro",
"state": "MD",
"postal_code": "20772",
"country_code": "US",
"telephone_number": "301-599-1500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OKADIGBO",
"first_name": "IFEOMA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-07",
"last_updated": "2023-10-25",
"certification_date": "2023-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "MD",
"license": "D0087359",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "DC",
"license": "MD047347",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "9662 Pennsylvania Ave",
"city": "Upper Marlboro",
"state": "MD",
"country_code": "US",
"postal_code": "20772",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Upper Marlboro, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.