Optum Infusion Services 103, LLC

Primary specialty

Home Infusion Therapy PharmacyTaxonomy code 3336H0001X

Legal business name

OPTUM INFUSION SERVICES 103, LLC

Practice address

9204 Berger Rd
Ste. a
Columbia, MD 21046

Phone

(800) 715-6650

Fax

(866) 715-6651

NPI assigned

May 23, 2006

Organization subpart

No

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

Authorized official

Name

Denise McCabe

Title

Secretary

Phone

(952) 935-1191

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD3 enrollments

Home infusion therapy

Medicare-enrolled home infusion therapy supplier

Enrollment records 3

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Optum Infusion Services 500, Inc.

  • Home Infusion Therapy Pharmacy
  • Houston, TX
  • NPI 1780187237

  Member Of

  NPD member
• Optumrx, Inc.

  • Mail Order Pharmacy
  • Overland Park, KS
  • NPI 1669498515

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778112000000",
    "number": "1487609269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 OPTUM CIR STE 100",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553442956",
            "telephone_number": "800-328-5979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9204 BERGER RD",
            "address_2": "STE. A",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "21046",
            "telephone_number": "800-715-6650",
            "fax_number": "866-715-6651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTUM INFUSION SERVICES 103, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A",
        "authorized_official_last_name": "MCCABE",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "952-935-1191"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Optimum Medical Group Inc.
• Option Care Enterprises, Inc.
• Option Care Enterprises, Inc.
• Optum Behavioral Care of North Carolina, PC
• Optum Care Services Company
• Yvette Oquendo, M.D.
• Hala Oraibi
• James Orban
• Emellie Ordonez
• Leslie Jeaneth Orellana-a

• Home Infusion Therapy Pharmacy in Columbia, MD
• Providers in Columbia, MD by specialty
• Home Infusion Therapy Pharmacy in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.