Obinneamaka Lesley Iweh Popoko, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R208683 Issued in MD

Practice address

40 S Dundalk Ave
Baltimore, MD 21222-4267

Phone

(410) 220-0720

Fax

(410) 862-0150

NPI assigned

Aug 8, 2018

Last updated

Apr 29, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Obinneamaka Lesley Iweh Former name

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Group practices

Matclinic Physicians Practice Group LLCGroup PAC ID 3274804349, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Matclinic Physicians Practice Group LLC

  • Addiction Medicine (Internal Medicine) Physician
  • Dundalk, MD
  • NPI 1104375294
  Medicare reassignment Care Compare group NPD
• Matclinic Physicians Practice Group LLC

  • Addiction Medicine (Internal Medicine) Physician
  • Laurel, MD
  • NPI 1194217091

  DC

  Medicare reassignment NPD
• Matclinic Physicians Practice Group LLC

  • Addiction (Substance Use Disorder) Counselor
  • Dundalk, MD
  • NPI 1801448360
  NPD

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

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1528547767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 S DUNDALK AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212224267",
            "telephone_number": "410-220-0720",
            "fax_number": "410-862-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 S DUNDALK AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212224267",
            "telephone_number": "410-220-0720",
            "fax_number": "410-862-0150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 York Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Towson",
            "state": "MD",
            "postal_code": "212045243",
            "country_code": "US",
            "telephone_number": "410-220-0720",
            "fax_number": "410-862-0150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "253 Lewis Ln Ste 201",
            "address_purpose": "LOCATION",
            "city": "Havre DE Grace",
            "state": "MD",
            "postal_code": "210783756",
            "country_code": "US",
            "telephone_number": "410-220-0720",
            "fax_number": "410-862-0150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IWEH POPOKO",
        "first_name": "OBINNEAMAKA",
        "middle_name": "LESLEY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-08",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R208683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "714129700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OBINNEAMAKA",
            "last_name": "IWEH",
            "middle_name": "LESLEY",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Blessing Iwuh
• Ananya Suresh Iyengar
• Hersha Iyer, DO

• Family Nurse Practitioner in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.