Individual provider Active NPI

Obianuju Geraldine Nwoga, M.D.

  • Pediatrics Physician
  • Silver Spring, MD
National Provider Identifier
1619289386
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D0082106 Issued in MD
Practice address
11161 New Hampshire Ave Ste 301
Silver Spring, MD 20904-2606
Phone
(301) 681-7101
NPI assigned
Jul 9, 2010
Reactivated
Jun 9, 2023
Last updated
Sep 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X D0082106 MD Primary

Addresses

Primary practice location

11161 New Hampshire Ave Ste 301
Silver Spring, MD 20904-2606

Mailing address

903 Russell Ave Ste 301
Gaithersburg, MD 20879-3257
Phone (301) 869-2292

Other practice location 1

903 Russell Ave
Gaithersburg, MD 20879-3282
Phone (301) 869-2292

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0082106MDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Howard County Pediatrics, LLC Pediatrics Past Accepting new patients
White Oak Pediatrics Dr Battiata & Impeduglia PA Pediatrics Past Accepting new patients
White Oak Pediatrics, DRS. Battiata & Impeduglia, P.a. Pediatrics Past Accepting new patients
Chantilly Family Medicine LLC Pediatrics PastSince Dec 1, 2020 Accepting new patients
White Oak Pediatrics, DRS. Battiata & Impeduglia, P.a. Pediatrics Past Accepting new patients
White Oak Pediatrics DRS Battiata & Impeduglia PA Pediatrics Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: geraldine.nwoga.1@6914.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/6914/brand/1/csg/1/fhir/r4
  • Direct secure messaging: obianuju.nwoga@wopmd.eclinicaldirectplus.com
  • Direct secure messaging: ookonkwo0@yourcarecommunity.org

Organizations & group practices 7

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": "1278633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1619289386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 RUSSELL AVE STE 301",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793257",
            "telephone_number": "301-869-2292",
            "fax_number": "301-869-4223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11161 NEW HAMPSHIRE AVE STE 301",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209042606",
            "telephone_number": "301-681-7101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "903 Russell Ave",
            "address_purpose": "LOCATION",
            "city": "Gaithersburg",
            "state": "MD",
            "postal_code": "208793282",
            "country_code": "US",
            "telephone_number": "301-869-2292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NWOGA",
        "first_name": "OBIANUJU",
        "middle_name": "GERALDINE",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-09",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "deactivation_date": "2023-05-23",
        "reactivation_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0082106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.