Theodore C Osuala, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

D0064126 Issued in MD

Practice address

9470 Annapolis Rd
Suite 117
Lanham, MD 20706-3025

Phone

(301) 577-9111

Fax

(301) 577-9199

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Psychiatry

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Gilead Quantum Health Systems Inc.Group PAC ID 9537247838, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

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

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.

• Gilead Quantum Health Systems Inc.

  • Clinic/Center
  • Lanham, MD
  • NPI 1043497290

  DC

  Medicare reassignment Care Compare group NPD Authorized official
• Gilead Medical Associates

  • Psychiatry Physician
  • Washington, DC
  • NPI 1831549757
  Medicare reassignment NPD Authorized official
• Premier Health Care, LLC

  • Psychiatry Physician
  • Silver Spring, MD
  • NPI 1285017822

  DC

  Medicare reassignment NPD
• Wellness Health Services, LLC

  • Home Health Agency
  • Washington, DC
  • NPI 1033685953
  Medicare reassignment NPD
• Gilead Medical Associates LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Lanham, MD
  • NPI 1063087021
  NPD (past) Authorized official
• Gilead Medical Associates LLC

  • Adult Mental Health Clinic/Center
  • Lanham, MD
  • NPI 1154996114
  NPD (past) Authorized official
• Gilead Medical Associates LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lanham, MD
  • NPI 1558098194
  NPD (past) Authorized official
• Premier Health Care LLC

  • Internal Medicine Physician
  • Clinton, MD
  • NPI 1528538758
  NPD
• Dimensions Health Corporation

  • General Acute Care Hospital
  • Upper Marlboro, MD
  • NPI 1720099286
  NPD (past)
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1356428833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9470 ANNAPOLIS RD",
            "address_2": "SUITE 117",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063025",
            "telephone_number": "301-577-9111",
            "fax_number": "301-577-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9470 ANNAPOLIS RD",
            "address_2": "SUITE 117",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063025",
            "telephone_number": "301-577-9111",
            "fax_number": "301-577-9199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSUALA",
        "first_name": "THEODORE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0064126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015197100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claudia Ortega
• Success Osakwe
• Itohan Mercy Osayi
• Caroline Osekwe, RN
• Funmilola Osisami
• Anselem Ikechukwu Osuebi
• Colin Carlton Ottey, MD
• Zhihao Ou
• Oulega Care LLC
• Chioma Nwabineli Oulega, PMHNP-BC

• Psychiatry Physician in Lanham, MD
• Providers in Lanham, MD by specialty
• Psychiatry Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.

Verify at the official NPI Registry.