Individual provider Active NPI

Yvonne N Oseiwe-Williams, MD

  • Emergency Medicine Physician
  • Baltimore, MD
National Provider Identifier
1538301676
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
D73679 Issued in MD
Practice address
20 First Light CT
Baltimore, MD 21237-2166
Phone
(443) 742-4516
NPI assigned
Apr 6, 2009
Last updated
Jun 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 25MA09510400 NJ
Emergency Medicine Physician 207P00000X D73679 MD Primary

Addresses

Primary practice location

20 First Light CT
Baltimore, MD 21237-2166

Mailing address

20 First Light CT
Baltimore, MD 21237-2166
Phone (443) 742-4516

Other names 1

  • Yvonne Ezeala Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140909001717 NJ Practitioner - Emergency Medicine 4688839038 Reassigns benefits to 3 organizations
I20161214000892 PA Practitioner - Emergency Medicine 4688839038 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Pennsylvania State University College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

175 Madison Ave
Mount Holly, NJ 08060-2038
Phone (609) 267-0700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
71.3 of 100Reported as individual
Quality
52.13
Improvement activities
40
Cost
66.42

Merit-based Incentive Payment System (MIPS)

Final score
95.15 of 100Reported as apm
Quality
83.54
Promoting interoperability
94.52
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D73679MDMDEmergency Medicine Physician
25MA09510400NJMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Warren Physician Group, PC CurrentSince Mar 19, 2020 Accepting new patients
Emergency Physician Associates of South Jersey P C Emergency Medicine CurrentSince Feb 1, 2017 Accepting new patients
Geisinger Clinic Current Accepting new patients
Dubois Regional Medical Center CurrentSince Nov 1, 2016 Accepting new patients
Geisinger Clinic CurrentSince Sep 16, 2024 Accepting new patients
St. Luke's Warren Physician Group, PC CurrentSince Mar 19, 2020 Accepting new patients
St. Luke's Warren Physician Group, PC Current Accepting new patients
Emergency Physician Services of New Jersey,Professional Association Emergency Medicine CurrentSince Jan 22, 2018 Accepting new patients
Geisinger Clinic CurrentSince Sep 16, 2024 Accepting new patients
Dubois Regional Medical Center Emergency Medicine CurrentSince Nov 1, 2016 Accepting new patients
Clearfield Hospital Emergency Medicine Past Accepting new patients
Clearfield Hospital Past Accepting new patients

Locations

100 Townsend Ave
Berlin, NJ 08009
Phone (856) 322-3000

90 Brick Rd
Marlton, NJ 08053
Phone (856) 355-6040

175 Madison Ave
Mount Holly, NJ 08060
Phone (609) 261-1660

185 Roseberry St
Phillipsburg, NJ 08865
Phone (908) 213-6611

755 Memorial Pkwy
Ste 302
Phillipsburg, NJ 08865
Phone (908) 847-6722

809 Turnpike Ave
Clearfield, PA 16830
Phone (814) 765-5341

100 N Academy Ave
Danville, PA 17822

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

100 Hospital Ave
Ofc
Dubois, PA 15801

763 Johnsonburg Rd
Saint Marys, PA 15857
Phone (814) 788-8000

Organizations & group practices 12

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1538301676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 FIRST LIGHT CT",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212372166",
            "telephone_number": "443-742-4516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 FIRST LIGHT CT",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212372166",
            "telephone_number": "443-742-4516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSEIWE-WILLIAMS",
        "first_name": "YVONNE",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-06",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA09510400",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "D73679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YVONNE",
            "last_name": "EZEALA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.