Individual provider Active NPI

Obiora Matthias Ogbuawa, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Washington DC, DC
National Provider Identifier
1427073675
Registry record updated Oct 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
8711 Issued in DC
Practice address
1615 Rhode Island Avenue NE
Washington DC, DC 20018
Phone
(202) 636-3781
Fax
(202) 832-0575
NPI assigned
Jul 12, 2006
Last updated
Oct 26, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 8711 DC Primary

Addresses

Primary practice location

1615 Rhode Island Avenue NE
Washington DC, DC 20018

Mailing address

PO Box 41035
Washington DC, DC 20018
Phone (202) 636-3781

Other identifiers 1

IdentifierTypeStateIssuer
010795100MedicaidDC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090127000643 DC Practitioner - EndocrinologyPractitioner - Internal Medicine 6507920055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11701 Livingston Rd
Suite 209
Fort Washington, MD 20744-5136
Phone (301) 292-8881

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8711DCMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obiora M. Ogbuawa, MDPC CurrentSince Dec 14, 1983 Accepting new patients

Locations

11701 Livingston Rd
Ste 209
Ft Washington, MD 20744
Phone (301) 292-3113

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224979200000",
    "number": "1427073675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41035",
            "city": "WASHINGTON DC",
            "state": "DC",
            "postal_code": "20018",
            "telephone_number": "202-636-3781",
            "fax_number": "202-832-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 RHODE ISLAND AVENUE NE",
            "city": "WASHINGTON DC",
            "state": "DC",
            "postal_code": "20018",
            "telephone_number": "202-636-3781",
            "fax_number": "202-832-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGBUAWA",
        "first_name": "OBIORA",
        "middle_name": "MATTHIAS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2008-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "DC",
            "license": "8711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010795100",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington DC, DC

Sources for this page

Verify at the official NPI Registry.