Keziah Kukua Onnomah

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R219494 Issued in MD

Practice address

2401 W Belvedere Ave
Baltimore, MD 21215-5270

Phone

(410) 601-9000

NPI assigned

Apr 3, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

USA Sleep Diagnostic Mobile Services LLCGroup PAC ID 4284956335, 5 clinicians

Optimize Medical GroupGroup PAC ID 0446512040, 31 clinicians

Medstar Health Weight Management, LLCGroup PAC ID 0840634267, 103 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: onnomah.keziah@ca-md.direct.office.nextgen.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Medstar Health Weight Management, LLC

  • Family Medicine Physician
  • Linthicum Heights, MD
  • NPI 1013785971

  DC

  Medicare reassignment Care Compare group NPD
• Optimize Medical Group

  • Adult Health Nurse Practitioner
  • Pikesville, MD
  • NPI 1952818999

  DC

  Medicare reassignment Care Compare group NPD
• USA Sleep Diagnostic Mobile Services, LLC

  dba USA Sleep Diagnostic Services

  • Sleep Disorder Diagnostic Clinic/Center
  • Odenton, MD
  • NPI 1619343092
  Medicare reassignment Care Compare group NPD
• USA Sleep Diagnostic Mobile Service

  • Sleep Disorder Diagnostic Clinic/Center
  • Columbus, GA
  • NPI 1891449609
  NPD
• Post Acute Health Care Services LLC

  • Acute Care Nurse Practitioner
  • Pikesville, MD
  • NPI 1982423653
  NPD (past)

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1538864079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7810 STARFIRE WAY",
            "city": "SEVERN",
            "state": "MD",
            "postal_code": "211441183",
            "telephone_number": "508-450-2052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 W BELVEDERE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155270",
            "telephone_number": "410-601-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONNOMAH",
        "first_name": "KEZIAH",
        "middle_name": "KUKUA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-03",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R219494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tasi Onigbanjo
• Isaac Onigbinde
• Matthew J Onimus, MD
• Cameron Leigh Onken, DMD
• Ciera Onley
• Chizaram Jennifer Onoh
• Rose Onokala
• Ifeyinwa Ijeoma Onowu, MBA, RPH
• Stella Ngozi Onu, MB, BS
• Rosetta Onuh, NP

• 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 3, 2023; 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.