Individual provider Active NPI

Osamuyimen O Igbinosa, MD

  • Internal Medicine Physician
  • Washington, DC
National Provider Identifier
1386907921
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D74336 Issued in MD
Practice address
106 Irving St NW
Suite 208 S
Washington, DC 20010-2927
Phone
(202) 291-4101
Fax
(202) 291-4102
NPI assigned
Jun 19, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D74336 MD Primary

Addresses

Primary practice location

106 Irving St NW
Suite 208 S
Washington, DC 20010-2927

Mailing address

PO Box 940
Bowie, MD 20718-0940
Phone (202) 291-4101

Other identifiers 1

IdentifierTypeStateIssuer
054743300MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120716000178 DC Practitioner - Internal MedicinePractitioner - Infectious Disease 6406012608 Reassigns benefits to 2 organizations
Practice locations: Washington, DC
I20230417000794 MD Practitioner - Internal MedicinePractitioner - Infectious Disease 6406012608 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Infectious Disease
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

106 Irving St NW
Suite 208S
Washington, DC 20010-2993
Phone (202) 291-4101

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.2 of 100Reported as group
Quality
70.92
Promoting interoperability
98
Improvement activities
40
Cost
71.41

Merit-based Incentive Payment System (MIPS)

Final score
96.73 of 100Reported as individual
Quality
80.29
Promoting interoperability
100
Improvement activities
40
Cost
75.48

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D74336MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic General Hospital Corporation Internal Medicine CurrentSince Jan 4, 2023 Accepting new patients
Hospitalist Medicine Physicians of Maryland PC Internal Medicine CurrentSince Jun 1, 2015 Accepting new patients
Tidalhealth Atlantic, Inc. CurrentSince Jan 4, 2023 Accepting new patients
Hospitalist Medicine Physicians of Maryland PC Internal Medicine CurrentSince Jun 1, 2015 Accepting new patients
Uyi Igbinosa, MD LLC CurrentSince Apr 9, 2021 Accepting new patients
Tidalhealth Specialty Care, LLC CurrentSince Mar 1, 2026 Accepting new patients
Inpatient Specialists PA Internal Medicine Past Accepting new patients
Atlantic General Hospital Corporation PastSince Sep 11, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Uyi Igbinosa PastSince Jul 1, 2016 Accepting new patients
Atlantic Immedicare LLC Past Accepting new patients

Locations

106 Irving St NW
Ste 208S
Washington, DC 20010
Phone (202) 291-4101

9733 Healthway Dr
Berlin, MD 21811
Phone (410) 641-1100

10026 Old Ocean City Blvd
Ste 6
Berlin, MD 21811

400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300

3001 Hospital Dr
Hyattsville, MD 20785
Phone (301) 618-2000

9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000

100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100

6040 Public Landing Rd
Snow Hill, MD 21863
Phone (410) 629-0041

Organizations & group practices 11

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 3

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": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1386907921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 940",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207180940",
            "telephone_number": "202-291-4101",
            "fax_number": "202-291-4102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 IRVING ST NW",
            "address_2": "SUITE 208 S",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200102927",
            "telephone_number": "202-291-4101",
            "fax_number": "202-291-4102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGBINOSA",
        "first_name": "OSAMUYIMEN",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-19",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D74336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "054743300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.