Active NPI
Ewere O Osian-Dugan, M.D.
- Psychiatry Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- D77981
- Practice address
- 725 Fallsway
Baltimore, MD 21202-4147 - Phone
- (667) 600-3429
- Fax
- (667) 600-4092
- NPI assigned
- Mar 29, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Psychiatry Physician | 2084P0802X | D77981 | MD | |
| Psychiatry Physician | 2084P0800X | D77981 | MD | Primary |
Addresses
Primary practice location
725 Fallsway
Baltimore, MD 21202-4147
Mailing address
725 Fallsway
Baltimore, MD 21202-4147
Phone (667) 600-3429
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 741505200 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Temple University School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5124 Greenwich Ave
Baltimore, MD 21229-2314
Phone 4104335255301
6999 Reisterstown Rd
Baltimore, MD 21215-1430
Phone (667) 600-3210
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D77981 | MD | MD | Addiction Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Catholic Charities, Inc. | Current | Accepting new patients | |
| Carepoint Response,Inc | Current | Accepting new patients | |
| Associated Catholic Charities, Inc. | Current | Accepting new patients | |
| Associated Catholic Charities, Inc | Current | Accepting new patients |
Locations
5124 Greenwich Ave
Baltimore, MD 21229
Phone (410) 433-5255
725 Fallsway
Baltimore, MD 21202
Phone (667) 600-2855
6999 Reisterstown Rd
Baltimore, MD 21215
Phone (667) 600-2000
308 Virginia Ave
Cumberland, MD 21502
Phone (667) 600-2110
2700 Washington Ave
Lansdowne, MD 21227
Phone (667) 600-3984
2300 Dulaney Valley Rd
Ste B
Timonium, MD 21093
Interoperability endpoints
- ewere.osian-dugan.1@7340.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baltimore, MD
- NPI 1073639159
-
- Community/Behavioral Health Agency
- Baltimore, MD
- NPI 1073828182
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baltimore, MD
- NPI 1972066629
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baltimore, MD
- NPI 1043336316
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537401600000",
"number": "1639494057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 FALLSWAY",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212024147",
"telephone_number": "667-600-3429",
"fax_number": "667-600-4092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 FALLSWAY",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212024147",
"telephone_number": "667-600-3429",
"fax_number": "667-600-4092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSIAN-DUGAN",
"first_name": "EWERE",
"middle_name": "O",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-29",
"last_updated": "2018-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0802X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": "MD",
"license": "D77981",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "D77981",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "741505200",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; 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.