Individual provider Active NPI

Angela Nduaguba-Ezumba, D.O.

  • Psychiatry Physician
  • Owings Mills, MD
National Provider Identifier
1669568796
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
80066255 Issued in MD
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

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
14071MedicaidND
12N73NDOtherMNBCBS MN
26621OtherNDBLUE CROSS BLUE SHIELD ND
438655000MedicaidMN

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
I20071004000415 MD Practitioner - Psychiatry 4688779218 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
80066255MDMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
At Ease Mental Health, LLC Psychiatry CurrentSince Jun 29, 2024 Accepting new patients
Arman C. Moshyedi, MD, LLC Psychiatry CurrentSince Dec 14, 2019 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.