Individual provider Active NPI

Nkiruka Udeka Arene, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Bel Air, MD
National Provider Identifier
1477517332
Registry record updated Jul 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
D63924 Issued in MD
Practice address
2012 S Tollgate Rd
Suite 206
Bel Air, MD 21015-5900
Phone
(443) 977-9180
NPI assigned
Apr 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D63924 MD
Physical Medicine & Rehabilitation Physician 208100000X D63924 MD Primary

Addresses

Primary practice location

2012 S Tollgate Rd
Suite 206
Bel Air, MD 21015-5900

Mailing address

2012 S Tollgate Rd Ste 207
Bel Air, MD 21015-5902
Phone (443) 371-9750

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
I20060302000717 MD Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 4688588445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agape Physical Therapy and Sports Rehabilitation LPGroup PAC ID 3870741390, 684 clinicians

Practice addresses (Care Compare)

12 Newport Dr
Forest Hill, MD 21050-1758

2012 S Tollgate Rd
Suite 207
Bel Air, MD 21015-5902
Phone (443) 977-9180

Merit-based Incentive Payment System (MIPS)

Final score
76.21 of 100Reported as group
Quality
38.25
Improvement activities
40
Cost
69.72

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspring Realty Corp Current Accepting new patients
Wellspring Clinic LLC Internal Medicine CurrentSince Oct 22, 2012 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Wellspring Clinic LLC Past Accepting new patients
Wellspring Clinic LLC Family Medicine Past Accepting new patients

Locations

2012 S Tollgate Rd
Ste 207
Bel Air, MD 21015
Phone (443) 371-9750

2012 S Tollgate Rd
Ste 206
Bel Air, MD 21015
Phone (443) 371-9750

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562889600000",
    "number": "1477517332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 S TOLLGATE RD STE 207",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210155902",
            "telephone_number": "443-371-9750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 S TOLLGATE RD",
            "address_2": "SUITE 206",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210155900",
            "telephone_number": "443-977-9180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARENE",
        "first_name": "NKIRUKA",
        "middle_name": "UDEKA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-17",
        "last_updated": "2019-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D63924",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MD",
            "license": "D63924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

Verify at the official NPI Registry.