Active NPI
Angela Nduaguba-Ezumba, D.O.
- Psychiatry Physician
- Owings Mills, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 80066255
- Practice address
- 10451 Mill Run Cir Ste 400
Owings Mills, MD 21117-5594 - Phone
- (443) 883-0229
- Fax
- (443) 898-6813
- NPI assigned
- Oct 5, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 80066255 | MD | Primary |
Addresses
Primary practice location
10451 Mill Run Cir Ste 400
Owings Mills, MD 21117-5594
Mailing address
9722 Groffs Mill Dr Unit 627
Owings Mills, MD 21117-6341
Phone (443) 883-0229
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14071 | Medicaid | ND | |
| 12N73ND | Other | MN | BCBS MN |
| 26621 | Other | ND | BLUE CROSS BLUE SHIELD ND |
| 438655000 | Medicaid | MN |
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
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1829 Reisterstown Rd
Suite 350
Pikesville, MD 21208-7126
Phone (443) 883-0229
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80066255 | MD | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| At Ease Mental Health, LLC | Psychiatry | Current | Accepting new patients |
| Arman C. Moshyedi, MD, LLC | Psychiatry | Current | Accepting new patients |
| Prairie St Johns | Past | Accepting new patients |
Locations
900 Bestgate Rd
Ste 102
Annapolis, MD 21401
Phone (443) 354-1200
2015 Emmorton Rd
Ste 203
Bel Air, MD 21015
Phone (443) 640-0083
1003 W 7th St
Ste 200
Frederick, MD 21701
Phone (240) 651-6824
1600 Crain Hwy S
Ste 608
Glen Burnie, MD 21061
Phone (443) 354-1200
200 International Cir
Ste 1300
Hunt Valley, MD 21030
Phone 44339181772225
1829 Reisterstown Rd
Ste 460
Pikesville, MD 21208
Phone (443) 354-1200
1829 Reisterstown Rd
Ste 350
Pikesville, MD 21208
Phone (443) 226-1676
1314 Bedford Ave
Ste 113
Pikesville, MD 21208
Phone (443) 868-7956
Interoperability endpoints
- angela.nduaguba-ezumba.1@18773.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Psychiatry Physician
- Pikesville, MD
- NPI 1760959126
-
- Psychiatry Physician
- Kensington, MD
- NPI 1578126306
-
- Psychiatric Hospital
- Fargo, ND
- NPI 1417901000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775433600000",
"number": "1669568796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9722 GROFFS MILL DR UNIT 627",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211176341",
"telephone_number": "443-883-0229",
"fax_number": "443-898-6813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10451 MILL RUN CIR STE 400",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211175594",
"telephone_number": "443-883-0229",
"fax_number": "443-898-6813"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NDUAGUBA-EZUMBA",
"first_name": "ANGELA",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2026-04-06",
"certification_date": "2026-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "80066255",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "14071",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MN",
"identifier": "12N73ND",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD ND",
"identifier": "26621",
"state": "ND"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "438655000",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Owings Mills, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; 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.