Individual provider Active NPI

Anthea Edu Nwandu, MD

  • Infectious Disease Physician
  • Baltimore, MD
National Provider Identifier
1609861459
Registry record updated Oct 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
D44598 Issued in MD
Practice address
725 W Lombard St
Baltimore, MD 21201-1009
Phone
(410) 558-4888
Fax
(410) 327-1693
NPI assigned
Sep 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0044598 MD
Infectious Disease Physician 207RI0200X D44598 MD Primary

Addresses

Primary practice location

725 W Lombard St
Baltimore, MD 21201-1009

Mailing address

PO Box 64442
Baltimore, MD 21264-4442
Phone (410) 706-4613

Other identifiers 1

IdentifierTypeStateIssuer
050841100MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041014000678 MD Practitioner - Infectious DiseasePractitioner - Internal Medicine 1254391105 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0044598MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Physicians P.a. Current Accepting new patients
University of Maryland Physicians P.a. Infectious Disease Current Accepting new patients
University of Maryland Physicians, P.a. Internal Medicine CurrentSince Jun 5, 2017 Accepting new patients
Summit Medical Group LLC CurrentSince Feb 1, 2022 Accepting new patients

Locations

725 W Lombard St
Baltimore, MD 21201
Phone (410) 706-1684

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

6310 Stevens Forest Rd
Columbia, MD 21046
Phone (301) 722-6300

6310 Stevens Forest Rd
Ste 200
Columbia, MD 21046
Phone (410) 245-2414

Organizations & group practices 4

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": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317600000000",
    "number": "1609861459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64442",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644442",
            "telephone_number": "410-706-4613",
            "fax_number": "410-328-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 W LOMBARD ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011009",
            "telephone_number": "410-558-4888",
            "fax_number": "410-327-1693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWANDU",
        "first_name": "ANTHEA",
        "middle_name": "EDU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-19",
        "last_updated": "2011-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0044598",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MD",
            "license": "D44598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "050841100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.