Individual provider Active NPI

Chinyere Rose Amazu, M.D.

  • Pediatrics Physician
  • Lanham, MD
National Provider Identifier
1588747422
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D0050340 Issued in MD
Practice address
9500 Annapolis Rd Ste B7
Lanham, MD 20706-2080
Phone
(301) 429-5866
Fax
(301) 429-8818
NPI assigned
Oct 23, 2006
Last updated
Nov 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD 30822 DC
Pediatrics Physician 208000000X D0050340 MD Primary

Addresses

Primary practice location

9500 Annapolis Rd Ste B7
Lanham, MD 20706-2080

Mailing address

9500 Annapolis Rd.
B-7
Lanham, MD 20706-2080
Phone (301) 429-5866

Other practice location 1

3611 Branch Ave Ste 403
Temple Hills, MD 20748-1251
Phone (301) 899-3337

Other identifiers 2

IdentifierTypeStateIssuer
34954200MedicaidDC
121325300MedicaidMD

Other names 1

  • Dr. Chinyere Rose Amazu Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD 30822DCMDPediatrics Physician
D0050340MDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rose Pediatrics Care Pediatrics CurrentSince Dec 3, 2023 Accepting new patients
Rose Pediatrics Care Pediatrics Current Accepting new patients
Baltimore Washington Emergency Physicians, Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Yardmore Emergency Physicians LLC Past Accepting new patients

Locations

9500 Annapolis Rd
Ste B7
Lanham, MD 20706
Phone (301) 429-5866

3611 Branch Ave
Ste 403
Temple Hills, MD 20748
Phone (301) 899-0007

Interoperability endpoints

  • Direct secure messaging: camazu801388@direct.umm.edu

Organizations & group practices 5

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1588747422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 ANNAPOLIS RD.",
            "address_2": "B-7",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207062080",
            "telephone_number": "301-429-5866",
            "fax_number": "301-429-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 ANNAPOLIS RD STE B7",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207062080",
            "telephone_number": "301-429-5866",
            "fax_number": "301-429-8818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3611 Branch Ave Ste 403",
            "address_purpose": "LOCATION",
            "city": "Temple Hills",
            "state": "MD",
            "postal_code": "207481251",
            "country_code": "US",
            "telephone_number": "301-899-3337",
            "fax_number": "301-899-6983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMAZU",
        "first_name": "CHINYERE",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "DC",
            "license": "MD 30822",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0050340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34954200",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121325300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHINYERE",
            "last_name": "AMAZU",
            "middle_name": "ROSE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Nov 30, 2023; 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.