NPIMap

Individual provider Active NPI

Evangeline C Obi, MD

  • Family Medicine Physician
  • Cheverly, MD
National Provider Identifier
1376771279
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0080483 Issued in MD
Practice address
2900 Mercy LN
Cheverly, MD 20785-1157
Phone
(301) 851-5500
NPI assigned
Jun 30, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0116021225 VA
Family Medicine Physician 207Q00000X 57434 WI
Hospitalist Physician 208M00000X 0101257953 VA
Family Medicine Physician 207Q00000X D0080483 MD Primary

Addresses

Primary practice location

2900 Mercy LN
Cheverly, MD 20785-1157

Mailing address

10001 Hallmark CT
Fort Washington, MD 20744-2580
Phone (301) 547-5821

Other practice location 1

7450 Albert Rd Fl 2
Brandywine, MD 20613-3035
Phone (301) 888-2233

Other identifiers 1

IdentifierTypeStateIssuer
581045100MedicaidMD

Other names 1

  • Evangeline C Ndigwe Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
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 MD, DC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160226000560 MD Practitioner - Family Practice 2062660038 Reassigns benefits to 2 organizations
I20160328000080 DC Practitioner - Family PracticePractitioner - Emergency Medicine 2062660038 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Usacs Integrated Acute Care Services of Maryland LLCGroup PAC ID 4486900172, 178 clinicians
Kaiser Foundation Health Plan of the Mid Atlantic States, IncGroup PAC ID 3779495858, 1,921 clinicians

Practice addresses (Care Compare)

11711 Livingston Rd
Fort Washington, MD 20744-5151
Phone (301) 203-2250

1221 Mercantile LN
Largo, MD 20774-5374
Phone (301) 618-5700

6104 Old Branch Ave
Temple Hills, MD 20748-2518
Phone (301) 702-6100

Hospital & facility affiliations

  • Adventist Healthcare Fort Washington Medical Ctr Hospital, Fort Washington, MD, CCN 210060

Merit-based Incentive Payment System (MIPS)

Final score
72.91 of 100Reported as group
Quality
50.88
Improvement activities
40
Cost
69.9

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0080483MDMDFamily Medicine Physician
0116021225VAMDFamily Medicine Physician
0101257953VAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dimensions Health Associates Dba University of Maryland Capital Region CurrentSince Feb 10, 2016 Accepting new patients
Greater Baden Medical Service Incorporated Family Medicine CurrentSince Oct 13, 2022 Accepting new patients
Dimensions Healthcare Associates Inc CurrentSince Feb 10, 2016 Accepting new patients
Usacs Integrated Acute Care Services of Maryland, LLC CurrentSince Feb 1, 2023 Accepting new patients
Greater Baden Medical Service Incorporated CurrentSince Oct 13, 2022 Accepting new patients
Five Star Physician Services, LLC Family Medicine CurrentSince Feb 10, 2016 Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc CurrentSince Mar 13, 2023 Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc CurrentSince Mar 13, 2023 Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc Family Medicine Current Accepting new patients
Dimensions Healthcare Associates, Inc. Current Accepting new patients
Adventist Healthcare Fort Washington Medical Center Inc Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

7450 Albert Rd
Fl 2
Brandywine, MD 20613

7450 Albert Rd
Fl 3
Brandywine, MD 20613
Phone (301) 599-0460

8030 Matthews Rd
#105107
Bryans Road, MD 20616

1458 Addison Rd S
Capitol Heights, MD 20743
Phone (301) 324-1500

2900 Mercy Ln
Cheverly, MD 20785
Phone (301) 618-2010

8700 Jones Mill Rd
Chevy Chase, MD 20815
Phone (301) 350-5555

6 Garrett Ave
La Plata, MD 20646
Phone (301) 539-5100

785 Elkridge Landing Rd
Ste 300
Linthicum Heights, MD 21090
Phone (443) 323-3014

2101 E Jefferson St
Ste 6WPPQA
Rockville, MD 20852
Phone (301) 816-5853

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

1221 Mercantile Ln
Upper Marlboro, MD 20774
Phone (301) 618-5500

Organizations & group practices 12

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 1

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": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1376771279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10001 HALLMARK CT",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207442580",
            "telephone_number": "301-547-5821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 MERCY LN",
            "city": "CHEVERLY",
            "state": "MD",
            "postal_code": "207851157",
            "telephone_number": "301-851-5500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7450 Albert Rd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Brandywine",
            "state": "MD",
            "postal_code": "206133035",
            "country_code": "US",
            "telephone_number": "301-888-2233",
            "fax_number": "301-888-9133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OBI",
        "first_name": "EVANGELINE",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-30",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0116021225",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "57434",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "VA",
            "license": "0101257953",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0080483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "581045100",
            "state": "MD"
        }
    ],
    "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": "7450 Albert Rd Fl 2",
            "city": "Brandywine",
            "state": "MD",
            "country_code": "US",
            "postal_code": "206133035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "EVANGELINE",
            "last_name": "NDIGWE",
            "middle_name": "C",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cheverly, MD

Sources for this page

Verify at the official NPI Registry.