Individual provider Active NPI

Kenolisa C Onwueme, M.D., PH.D.

  • Gastroenterology Physician
  • Baltimore, MD
National Provider Identifier
1336283720
Registry record updated Mar 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
D0069402 Issued in MD
Practice address
1838 Greene Tree Rd
Suite 400
Baltimore, MD 21208-6391
Phone
(410) 602-7782
Fax
(410) 602-2438
NPI assigned
Feb 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 229454 MA
Internal Medicine Physician 207R00000X D0069402 MD
Gastroenterology Physician 207RG0100X D0069402 MD Primary

Addresses

Primary practice location

1838 Greene Tree Rd
Suite 400
Baltimore, MD 21208-6391

Mailing address

1838 Greene Tree Rd
Suite 400
Baltimore, MD 21208-6391
Phone (410) 602-7782

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20091215000063 MD Practitioner - Internal Medicine 1759421282 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifebridge Community Gastroenterology LLCGroup PAC ID 7618108119, 54 clinicians

Practice addresses (Care Compare)

1838 Greene Tree Rd
Suite 180
Pikesville, MD 21208-7100
Phone (410) 602-7782

219 S Washington St
Easton, MD 21601-2913
Phone 41082210005845

802 Landmark Dr
Suite 129
Glen Burnie, MD 21061-9121
Phone (410) 863-4899

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy165
Upper gastrointestinal (GI) endoscopy for acid reflux144

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
229454MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Hospital Center, Inc CurrentSince Mar 4, 2017 Accepting new patients
Pikesville MD Endoscopy ASC LLC Current Accepting new patients
Northwest Hospital Center, Inc Internal Medicine Current Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Sep 1, 2025 Accepting new patients
Dr Wendy Kloesz, M.D., P.a Current Accepting new patients
Lifebridge Community Gastroenterology, LLC Gastroenterology CurrentSince Mar 1, 2014 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Sep 1, 2025 Accepting new patients
Northwest Hospital Center, Inc. CurrentSince Mar 4, 2017 Accepting new patients
Woodholme Gastroenterology Assoc PA Gastroenterology Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Endocentre at Quarterfield Station Past Accepting new patients

Locations

2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432

219 S Washington St
Easton, MD 21601

7704 Quarterfield Rd
Ste A
Glen Burnie, MD 21061
Phone (410) 863-4899

802 Landmark Dr
Ste 129
Glen Burnie, MD 21061
Phone (410) 863-4899

1838 Greene Tree Rd
Ste 400
Pikesville, MD 21208
Phone (410) 602-9343

1838 Greene Tree Rd
Ste 180
Pikesville, MD 21208
Phone (410) 358-1800

5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727

535 Old Westminster Pike
Ste 102
Westminster, MD 21157

Interoperability endpoints

  • Direct secure messaging: konwueme8501@direct.hopkinsmedicine.org
  • Direct secure messaging: konwueme46523@direct.umm.edu

Organizations & group practices 11

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1171756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362614400000",
    "number": "1336283720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1838 GREENE TREE RD",
            "address_2": "SUITE 400",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212086391",
            "telephone_number": "410-602-7782",
            "fax_number": "410-602-2438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1838 GREENE TREE RD",
            "address_2": "SUITE 400",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212086391",
            "telephone_number": "410-602-7782",
            "fax_number": "410-602-2438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONWUEME",
        "first_name": "KENOLISA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-18",
        "last_updated": "2013-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "229454",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0069402",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MD",
            "license": "D0069402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.