Individual provider Active NPI

Uchenna Ekwonye, RN

  • Registered Nurse
  • Randallstown, MD
National Provider Identifier
1679991822
Registry record updated Apr 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R181213 Issued in MD
Practice address
5310 Old Court Rd Ste 105
Randallstown, MD 21133-5281
Phone
(443) 687-2527
NPI assigned
Apr 4, 2014
Last updated
Apr 4, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X A00127050 MD
Registered Nurse 163W00000X R181213 MD Primary
Licensed Practical Nurse 164W00000X LP44931 MD

Addresses

Primary practice location

5310 Old Court Rd Ste 105
Randallstown, MD 21133-5281

Mailing address

5310 Old Court Rd Ste 105
Randallstown, MD 21133-5281
Phone (443) 687-2527

Other names 1

  • Uchenna Ekwonye Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250421000028 MD Practitioner - Nurse Practitioner 0143745463 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
R181213MDMDRegistered Nurse
LP44931MDMDLicensed Practical Nurse
A00127050MDMDNurse's Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Borderless Healthcare Services, LLC CurrentSince Apr 1, 2025 Accepting new patients
Borderless Healthcare Services, LLC CurrentSince Apr 1, 2025 Accepting new patients

Locations

1900 E Northern Pkwy
Ste 308
Baltimore, MD 21239
Phone (443) 540-0779

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1396569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396569600000",
    "number": "1679991822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 OLD COURT RD STE 105",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211335281",
            "telephone_number": "443-687-2527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 OLD COURT RD STE 105",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211335281",
            "telephone_number": "443-687-2527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKWONYE",
        "first_name": "UCHENNA",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-04",
        "last_updated": "2014-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "MD",
            "license": "A00127050",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R181213",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MD",
            "license": "LP44931",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "UCHENNA",
            "last_name": "EKWONYE",
            "credential": "RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Randallstown, MD

Sources for this page

Verify at the official NPI Registry.