Individual provider Active NPI

Lilian Chinelo Achi

  • Family Nurse Practitioner
  • Bowie, MD
National Provider Identifier
1376406686
Registry record updated Oct 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R231988 Issued in MD
Practice address
15400 Emmanual Way
Bowie, MD 20716-1265
Phone
(346) 600-9364
NPI assigned
Dec 3, 2025
Last updated
Oct 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R231988 MD Primary

Addresses

Primary practice location

15400 Emmanual Way
Bowie, MD 20716-1265

Mailing address

15400 Emmanual Way
Bowie, MD 20716-1265

Other names 1

  • Lilian Chinelo Obidum Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20260324000935 MD Practitioner - Nurse Practitioner 1850875279 Reassigns benefits to 1 organization
I20260327002534 DC Practitioner - Nurse Practitioner 1850875279 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kurup Wound Care IncGroup PAC ID 0345305710, 2 clinicians

Practice addresses (Care Compare)

1835 University Blvd E
Suite 208
Hyattsville, MD 20783-4657
Phone (301) 445-3501

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R231988MDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rooted Healthcare, LLC Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1764720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792454400000",
    "number": "1376406686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15400 EMMANUAL WAY",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207161265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15400 EMMANUAL WAY",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207161265",
            "telephone_number": "346-600-9364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACHI",
        "first_name": "LILIAN",
        "middle_name": "CHINELO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-03",
        "last_updated": "2026-10-20",
        "certification_date": "2026-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R231988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LILIAN",
            "last_name": "OBIDUM",
            "middle_name": "CHINELO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bowie, MD

Sources for this page

Verify at the official NPI Registry.