Active NPI
Gabriel O. Obiadi, M.D.
- Pediatrics Physician
- Laurel, MD
National Provider Identifier
1649267352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- D0046424
- Practice address
- 601 7TH St Ste 204
Laurel, MD 20707-4011 - Phone
- (301) 776-6121
- Fax
- (301) 776-3860
- NPI assigned
- Sep 29, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | D0046424 | MD | Primary |
Addresses
Primary practice location
601 7TH St Ste 204
Laurel, MD 20707-4011
Mailing address
601 7TH St Ste 204
Laurel, MD 20707-4011
Phone (301) 776-6121
Other practice location 1
701 Charles St
LA Plata, MD 20646-5930
Phone (301) 609-4000
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
| License | State | Type | Specialty |
|---|---|---|---|
| D0046424 | MD | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Park Place Primary Care LLC | Pediatrics | Current | Accepting new patients |
| Dimensions Health Corporation | Past | Accepting new patients | |
| Baltimore Washington Emergency Physicians, Inc. | Past | Accepting new patients | |
| Harbor Hospital | Past | Accepting new patients |
Locations
601 7th St
Ste 204
Laurel, MD 20707
Phone (301) 776-6121
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.
-
- Pediatrics Physician
- Laurel, MD
- NPI 1750632477
-
- Emergency Medicine Physician
- Glen Burnie, MD
- NPI 1215983853
-
- General Acute Care Hospital
- Upper Marlboro, MD
- NPI 1720099286
-
- Multi-Specialty Clinic/Center
- Baltimore, MD
- NPI 1831110873
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1649267352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 7TH ST STE 204",
"city": "LAUREL",
"state": "MD",
"postal_code": "207074011",
"telephone_number": "301-776-6121",
"fax_number": "301-776-3860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 7TH ST STE 204",
"city": "LAUREL",
"state": "MD",
"postal_code": "207074011",
"telephone_number": "301-776-6121",
"fax_number": "301-776-3860"
}
],
"practiceLocations": [
{
"address_1": "701 Charles St",
"address_purpose": "LOCATION",
"city": "LA Plata",
"state": "MD",
"postal_code": "206465930",
"country_code": "US",
"telephone_number": "301-609-4000",
"fax_number": "301-609-4410",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OBIADI",
"first_name": "GABRIEL",
"middle_name": "O.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-29",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "D0046424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laurel, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.