Individual provider Active NPI

Naomi Ihedioha, M.D.

  • Family Medicine Physician
  • Laurel, MD
National Provider Identifier
1386673507
Registry record updated Jul 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D47838 Issued in MD
Practice address
1046 West St
Laurel, MD 20707-3531
Phone
(301) 490-8383
Fax
(301) 490-9770
NPI assigned
Jul 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X D47838 MD Primary

Addresses

Primary practice location

1046 West St
Laurel, MD 20707-3531

Mailing address

1046 West St
Laurel, MD 20707-3531
Phone (301) 490-8383

Other identifiers 1

IdentifierTypeStateIssuer
212300200MedicaidMD

Other names 1

  • Mrs. Nneoma Nwachukwu Other name

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)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343174400000",
    "number": "1386673507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1046 WEST ST",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207073531",
            "telephone_number": "301-490-8383",
            "fax_number": "301-490-9770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1046 WEST ST",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207073531",
            "telephone_number": "301-490-8383",
            "fax_number": "301-490-9770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IHEDIOHA",
        "first_name": "NAOMI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-01",
        "last_updated": "2012-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D47838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "212300200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NNEOMA",
            "last_name": "NWACHUKWU",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2012; 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.