Active NPI
Ikenna Onyenemezu, MD
- Hospitalist Physician
- Annapolis, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- D73676
- Practice address
- 2001 Medical Parkway
Annapolis, MD 21401-3280 - Phone
- (443) 481-1750
- Fax
- (443) 481-1687
- NPI assigned
- May 27, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Hospitalist Physician | 208M00000X | D73676 | MD | Primary |
Addresses
Primary practice location
2001 Medical Parkway
Annapolis, MD 21401-3280
Mailing address
PO Box 64916
Baltimore, MD 21264-4916
Phone (443) 481-6469
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 607156012 | Other | DEPARTMENT OF LABOR |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- George Washington University School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2001 Medical Pkwy
Annapolis, MD 21401-3280
Phone (443) 481-1000
2003 Medical Pkwy
Annapolis, MD 21401-3081
2003 Medical Pkwy Wayson Pavillion
Advanced Internal Medicine Residenc
Annapolis, MD 21401-3081
Phone (443) 951-4286
Hospital & facility affiliations
- Luminis Health Anne Arundel Medical Center, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D73676 | MD | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luminis Health Medical Group, LLC | Current | Accepting new patients | |
| Luminis Health Medical Group, LLC | Current | Accepting new patients | |
| Luminis Health Medical Group, LLC | Current | Accepting new patients | |
| Anne Arundel Medical Center Inc | Past | Accepting new patients | |
| Luminis Health Medical Group, LLC | Hospitalist | Past | Accepting new patients |
| Anne Arundel Medical Center Inc | Past | Accepting new patients | |
| Luminis Health Anne Arundel Medical Center, Inc. | Past | Accepting new patients |
Locations
2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366
2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601
Organizations & group practices 7
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.
-
- Maternal & Fetal Medicine Physician
- Annapolis, MD
- NPI 1073580205
-
- Family Medicine Physician
- Edgewater, MD
- NPI 1699742874
-
- Internal Medicine Physician
- Bowie, MD
- NPI 1720835010
-
- General Acute Care Hospital
- Annapolis, MD
- NPI 1285601369
-
- General Acute Care Hospital
- Annapolis, MD
- NPI 1528036290
-
- General Acute Care Hospital
- Annapolis, MD
- NPI 1477517225
-
- Hospitalist Physician
- Annapolis, MD
- NPI 1306164991
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Clinical Medical Laboratory
- Annapolis, MD
- NPI 1356885032
Hospital
-
- General Acute Care Hospital
- Annapolis, MD
- NPI 1477517225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339545600000",
"number": "1497980023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 64916",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212644916",
"telephone_number": "443-481-6469",
"fax_number": "443-481-6515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 MEDICAL PARKWAY",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214013280",
"telephone_number": "443-481-1750",
"fax_number": "443-481-1687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ONYENEMEZU",
"first_name": "IKENNA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-27",
"last_updated": "2012-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MD",
"license": "D73676",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF LABOR",
"identifier": "607156012",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; 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.