Ejikeme Uchenna Nwokolo, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D77814 Issued in MD

Practice address

12221 Tullamore Rd
Lutherville, MD 21093-7816

Phone

(410) 469-5980

Fax

(410) 469-5851

NPI assigned

May 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Other, 1992

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Sinai Hospital of Baltimore, IncGroup PAC ID 0941112346, 373 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ejikeme.nwokolo.p1@direct.bmsi.nextgenshare.com

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.

• Sinai Hospital of Baltimore Inc

  • Surgical Critical Care Physician
  • Baltimore, MD
  • NPI 1043235666
  Medicare reassignment Care Compare group NPD
• Baltimore Medical System, Inc.

  dba BMS@Yard56

  • Federally Qualified Health Center (FQHC)
  • Baltimore, MD
  • NPI 1164138152
  Medicare reassignment NPD
• Kaiser Foundation Health Plan of the Mid Atlantic States, Inc

  • Health Maintenance Organization
  • Halethorpe, MD
  • NPI 1043378656
  Medicare reassignment NPD
• Lifebridge Community Physicians, Inc

  • Cardiovascular Disease Physician
  • Timonium, MD
  • NPI 1174815807
  Medicare reassignment NPD
• Lifebridge Primary Care of North Carroll, LLC

  dba Carroll Medical Group

  • Family Medicine Physician
  • Hampstead, MD
  • NPI 1811398175
  Medicare reassignment NPD
• Createhealth LLC

  • Primary Care Clinic/Center
  • Memphis, TN
  • NPI 1548596158
  NPD (past) Authorized official
• Baltimore Medical System, Inc.

  • Federally Qualified Health Center (FQHC)
  • Baltimore, MD
  • NPI 1700882503
  NPD
• Kaiser Foundation Health Plan of the Mid Atlantic States, Inc

  dba North Arundel Medical Center

  • Health Maintenance Organization
  • Glen Burnie, MD
  • NPI 1285752121
  NPD
• Kaiser Foundation Health Plan of the Mid Atlantic States, Inc

  dba Kaiser Permanente Shady Grove Peritoneal Dialysis Facility

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Rockville, MD
  • NPI 1962108753
  NPD
• Lifebridge Community Physicians Inc

  • Cardiovascular Disease Physician
  • Lutherville, MD
  • NPI 1740086149
  NPD
• Lifebridge Community Physicians, Inc

  dba Dr Lea Lazar

  • Family Medicine Physician
  • Clarksville, MD
  • NPI 1437528551
  NPD
• Sinai Hospital of Baltimore Inc

  • Internal Medicine Physician
  • Baltimore, MD
  • NPI 1255359782
  NPD

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1457304396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12221 TULLAMORE RD",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210937816",
            "telephone_number": "410-469-5980",
            "fax_number": "410-469-5851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12221 TULLAMORE RD",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210937816",
            "telephone_number": "410-469-5980",
            "fax_number": "410-469-5851"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 First Street East",
            "address_purpose": "LOCATION",
            "city": "Stanton",
            "state": "TN",
            "postal_code": "38069",
            "country_code": "US",
            "telephone_number": "731-548-2232",
            "fax_number": "731-548-2236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NWOKOLO",
        "first_name": "EJIKEME",
        "middle_name": "UCHENNA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "40592",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D77814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "40592",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cheryl Novak, CRNP
• Martin S. Novey, O.D.
• Sonya Nudelman
• Michael Nwandu, DNP
• Ihuoma Nwaononiwu
• Kristin O'Donnell, PH.D.
• Oak Tree Counseling Center
• Erin Ober
• Katherine Bacher Odoherty, LCPAT, ATR-BC
• Elizabeth O Ogunjimi

• Internal Medicine Physician in Lutherville, MD
• Providers in Lutherville, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.