NPIMap

Organization Active NPI

Gilead Medical Associates LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lanham, MD
National Provider Identifier
1558098194
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
GILEAD MEDICAL ASSOCIATES LLC
Practice address
9470 Annapolis Rd Ste 117
Lanham, MD 20706-3031
Phone
(301) 577-9111
Fax
(301) 577-9199
NPI assigned
Aug 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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

Authorized official

Name
Dr. Theodore C Osuala, MDNPI 1356428833
Title
Medical Director
Phone
(301) 577-9111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

9470 Annapolis Rd Ste 117
Lanham, MD 20706-3031

Mailing address

9470 Annapolis Rd Ste 117
Lanham, MD 20706-3031
Phone (301) 577-9111

Other identifiers 1

IdentifierTypeStateIssuer
NONEMedicaidMD

Electronic endpoints 2

TypeEndpointUseAffiliation
SOAP URL EMR Health Information Exchange (HIE)
SOAP URL EMR Direct

National Provider Directory

National Provider Directory
Tax ID family
Gilead Medical Associates LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1659484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659484800000",
    "number": "1558098194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9470 ANNAPOLIS RD STE 117",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063031",
            "telephone_number": "301-577-9111",
            "fax_number": "301-577-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9470 ANNAPOLIS RD STE 117",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063031",
            "telephone_number": "301-577-9111",
            "fax_number": "301-577-9199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILEAD MEDICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-03",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-02",
        "status": "A",
        "authorized_official_last_name": "OSUALA",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "301-577-9111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NONE",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "EMR",
            "affiliation": "N",
            "endpointDescription": "WHERE MEDICAL RECORDS ARE STORED",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9470 Annapolis Rd Ste 117",
            "city": "Lanham",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207063031",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "EMR",
            "affiliation": "N",
            "endpointDescription": "WHERE MEDICAL RECORDS ARE STORED",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9470 Annapolis Rd Ste 117",
            "city": "Lanham",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207063031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.