Organization Active NPI

Obiora M. Ogbuawa, MDPC

  • Specialist
  • Washington, DC
National Provider Identifier
1457504128
Registry record updated Dec 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD8711 Issued in DC
Legal business name
OBIORA M. OGBUAWA, MDPC
Practice address
1615 Rhode Island Ave NE
Washington, DC 20018-1802
Phone
(202) 636-3781
Fax
(202) 832-0575
NPI assigned
Oct 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2008

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

Authorized official

Name
Dr. Obiora Mathias Ogbuawa, M.D., P.C.NPI 1427073675
Title
Physician
Phone
(202) 636-3781

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD8711 DC Primary

Addresses

Primary practice location

1615 Rhode Island Ave NE
Washington, DC 20018-1802

Mailing address

PO Box 41035
Washington, DC 20018-0435
Phone (202) 636-3781

Other identifiers 1

IdentifierTypeStateIssuer
010795100MedicaidDC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090127000658 DC Part B Supplier - Clinic/Group Practice 5496819948 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Washington, MD

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229558400000",
    "number": "1457504128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41035",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200180435",
            "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 AVE NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200181802",
            "telephone_number": "202-636-3781",
            "fax_number": "202-832-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBIORA M. OGBUAWA, MDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-12-18",
        "status": "A",
        "authorized_official_last_name": "OGBUAWA",
        "authorized_official_first_name": "OBIORA",
        "authorized_official_middle_name": "MATHIAS",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "202-636-3781",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., P.C."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "DC",
            "license": "MD8711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010795100",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.