Active NPI
Naomi Ihedioha, M.D.
- Family Medicine Physician
- Laurel, MD
National Provider Identifier
1386673507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- D47838
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 212300200 | Medicaid | MD |
Other names 1
- Mrs. Nneoma Nwachukwu
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.