Organization Active NPI

G Medicine LLC

  • Internal Medicine Physician
  • Clinton, MD
National Provider Identifier
1376790428
Registry record updated Apr 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
G MEDICINE LLC
Practice address
9135 Piscataway Rd Ste 420
Clinton, MD 20735-2555
Phone
(301) 868-2555
NPI assigned
Aug 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2017

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

Authorized official

Name
Chike G Onwuka, MDNPI 1013065267
Title
President
Phone
(301) 868-2555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

9135 Piscataway Rd Ste 420
Clinton, MD 20735-2555

Mailing address

9135 Piscataway Rd Ste 420
Clinton, MD 20735-2555
Phone (301) 868-2555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090309000428 MD Part B Supplier - Clinic/Group Practice 5496811903 Receives reassigned benefits from 2 practitioners
Practice locations: Clinton, MD
O20120420000582 DC Part B Supplier - Clinic/Group Practice 5496811903 Receives reassigned benefits from 7 practitioners
Practice locations: Clinton, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493078400000",
    "number": "1376790428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9135 PISCATAWAY RD STE 420",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207352555",
            "telephone_number": "301-868-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9135 PISCATAWAY RD STE 420",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207352555",
            "telephone_number": "301-868-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-20",
        "last_updated": "2017-04-25",
        "status": "A",
        "authorized_official_last_name": "ONWUKA",
        "authorized_official_first_name": "CHIKE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-868-2555",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.