Individual provider Active NPI

Ikenna Uzomah, CAA

  • Anesthesiologist Assistant
  • Hyattsville, MD
National Provider Identifier
1376911339
Registry record updated Sep 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiologist AssistantTaxonomy code 367H00000X
Practice address
6202 43Rd Ave
Hyattsville, MD 20781-1406
Phone
(301) 351-3800
NPI assigned
Sep 8, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiologist Assistant 367H00000X DC Primary

Addresses

Primary practice location

6202 43Rd Ave
Hyattsville, MD 20781-1406

Mailing address

6202 43Rd Ave
Hyattsville, MD 20781-1406
Phone (301) 351-3800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Associate of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health Services, Inc Anesthesiologist Assistant Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1441670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441756800000",
    "number": "1376911339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6202 43RD AVE",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207811406",
            "telephone_number": "301-351-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6202 43RD AVE",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207811406",
            "telephone_number": "301-351-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UZOMAH",
        "first_name": "IKENNA",
        "name_prefix": "Mr.",
        "credential": "CAA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-08",
        "last_updated": "2015-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "DC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.