Individual provider Active NPI

Ewere O Osian-Dugan, M.D.

  • Psychiatry Physician
  • Baltimore, MD
National Provider Identifier
1639494057
Registry record updated Sep 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D77981 Issued in MD
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

Updated by the provider on Sep 20, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
741505200MedicaidMD

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181112001499 MD Practitioner - Psychiatry 8921352881 Reassigns benefits to 2 organizations

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
Baltimore Crisis Response,IncGroup PAC ID 9032365911, 6 clinicians

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

LicenseStateTypeSpecialty
D77981MDMDAddiction Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Catholic Charities, Inc. CurrentSince Sep 22, 2018 Accepting new patients
Carepoint Response,Inc CurrentSince Feb 25, 2025 Accepting new patients
Associated Catholic Charities, Inc. Current Accepting new patients
Associated Catholic Charities, Inc CurrentSince Sep 22, 2018 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.