Individual provider Active NPI

Nnenna Ihuoma Okigbo, MD

  • Internal Medicine Physician
  • Silver Spring, MD
National Provider Identifier
1538167028
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0060824 Issued in MD
Practice address
11161 New Hampshire Ave Ste 305
Silver Spring, MD 20904-2606
Phone
(301) 592-0062
Fax
(301) 592-0300
NPI assigned
Jul 8, 2005
Last updated
Oct 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0060824 MD Primary

Addresses

Primary practice location

11161 New Hampshire Ave Ste 305
Silver Spring, MD 20904-2606

Mailing address

11161 New Hampshire Ave Ste 305
Silver Spring, MD 20904-2606
Phone (301) 592-0062

Other identifiers 1

IdentifierTypeStateIssuer
405078900MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20050404000995 DC Practitioner - Internal Medicine 7911972542 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11161 New Hampshire Ave
Suite 305
Silver Spring, MD 20904-2606
Phone (301) 592-0062

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0060824MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates P.a., P.C. CurrentSince Jan 1, 2018 Accepting new patients
Emergency Medicine Associates P.a., P.C. Internal Medicine CurrentSince Jan 1, 2018 Accepting new patients
Primecare Med Center LLC Internal Medicine CurrentSince May 1, 2005 Accepting new patients
Metropolitan Medical Specialists LLC Internal Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Matrix House Physicians PA Internal Medicine Past Accepting new patients
Baltimore Washington Medical Center Inc. Internal Medicine Past Accepting new patients

Locations

8118 Good Luck Rd
Lanham Seabrook, MD 20706
Phone (301) 552-8608

11161 New Hampshire Ave
Ste 305
Silver Spring, MD 20904
Phone (301) 592-0062

11161 New Hampshire Ave
Ste 400
Silver Spring, MD 20904
Phone (301) 592-1225

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1538167028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11161 NEW HAMPSHIRE AVE STE 305",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209042606",
            "telephone_number": "301-592-0062",
            "fax_number": "301-592-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11161 NEW HAMPSHIRE AVE STE 305",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209042606",
            "telephone_number": "301-592-0062",
            "fax_number": "301-592-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKIGBO",
        "first_name": "NNENNA",
        "middle_name": "IHUOMA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-08",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0060824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "405078900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.