Athleticsmd

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

ATHLETICSMD

Practice address

3450 Fort Meade Rd Ste 110
Laurel, MD 20724-2070

Phone

(844) 348-6348

Fax

(410) 995-9986

NPI assigned

Sep 18, 2025

Organization subpart

No

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

Authorized official

Name

Imaobong Chinedozi, MDNPI 1275063083

Title

Owner

Phone

(844) 348-6348

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Imaobong Chinedozi, MD

  • Anesthesiology Physician
  • Baltimore, MD
  • NPI 1275063083
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1758153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758153600000",
    "number": "1689546830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 FORT MEADE RD STE 110",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207242070",
            "telephone_number": "844-348-6348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 FORT MEADE RD STE 110",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207242070",
            "telephone_number": "844-348-6348",
            "fax_number": "410-995-9986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHLETICSMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-18",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A",
        "authorized_official_last_name": "CHINEDOZI",
        "authorized_official_first_name": "IMAOBONG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "844-348-6348",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anesthesiology Physician in Laurel, MD
• Providers in Laurel, MD by specialty
• Anesthesiology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.