Individual provider Active NPI

Usiwoma Esenighe Ene Abugo, M.D.

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Timonium, MD
National Provider Identifier
1447510953
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
License
D0098646 Issued in MD
Practice address
1209 York Rd
Timonium, MD 21093-6220
Phone
(410) 821-9490
NPI assigned
May 18, 2012
Last updated
Nov 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X D0098646 MD
Ophthalmology Physician 207W00000X 25MA11783500 NJ
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X D0098646 MD Primary
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X 25MA11783500 NJ
Neuro-ophthalmology Physician 207WX0109X D0098646 MD

Addresses

Primary practice location

1209 York Rd
Timonium, MD 21093-6220

Mailing address

1209 York Rd
Timonium, MD 21093-6220
Phone (410) 821-9490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20240130001545 MD Practitioner - Ophthalmology 3476843327 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Loyola University of Chicago, Stritch School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Katzen Medical Associates PCGroup PAC ID 9436051232, 24 clinicians

Practice addresses (Care Compare)

301 Saint Paul St
Baltimore, MD 21202-2102

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.29 of 100Reported as group
Quality
82.7
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
141773CAMDMarriage & Family Therapist
D0098646MDMDOphthalmic Plastic and Reconstructive Surgery Physician
25MA11783500NJMDOphthalmic Plastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Katzen Medical Associates, PC Optometrist CurrentSince Nov 21, 2023 Accepting new patients

Locations

301 Saint Paul St
Ste 902
Baltimore, MD 21202
Phone (410) 727-8380

1209 York Rd
Ste 200
Lutherville Timonium, MD 21093
Phone (410) 821-9490

7106 Ridge Rd
Rosedale, MD 21237
Phone (410) 687-2300

1209 York Rd
Timonium, MD 21093
Phone (410) 821-9490

901 Dulaney Valley Rd
Ste 220
Towson, MD 21204
Phone (410) 583-1000

Interoperability endpoints

  • Direct secure messaging: usiwoma.abugo.p1@direct.katzeneye.nextgenshare.com
  • Direct secure messaging: uswama.abugomd.p1@direct.vec.nextgenshare.com

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": "1337299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1447510953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 YORK RD",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210936220",
            "telephone_number": "410-821-9490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 YORK RD",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210936220",
            "telephone_number": "410-821-9490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABUGO",
        "first_name": "USIWOMA",
        "middle_name": "ESENIGHE ENE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-18",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0098646",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA11783500",
            "primary": false
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "MD",
            "license": "D0098646",
            "primary": true
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "NJ",
            "license": "25MA11783500",
            "primary": false
        },
        {
            "code": "207WX0109X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Neuro-ophthalmology",
            "state": "MD",
            "license": "D0098646",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Timonium, MD

Sources for this page

Verify at the official NPI Registry.