Individual provider Active NPI

Yvonne Umezurike, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Baltimore, MD
National Provider Identifier
1710148556
Registry record updated May 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
01502 Issued in MD
Practice address
301 Saint Paul PL
Suite 420
Baltimore, MD 21202-2102
Phone
(410) 539-4281
NPI assigned
Jun 24, 2008
Last updated
May 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X SC006072 PA
Foot & Ankle Surgery Podiatrist 213ES0103X 01502 MD Primary

Addresses

Primary practice location

301 Saint Paul PL
Suite 420
Baltimore, MD 21202-2102

Mailing address

301 Saint Paul PL
Suite 420
Baltimore, MD 21202-2102
Phone (410) 539-4282

Other names 1

  • Dr. Yvonne Ozuzu Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110908001968 MD Practitioner - Podiatry 3173793791 Reassigns benefits to 3 organizations
I20171018000125 DC Practitioner - Podiatry 3173793791 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pedirite Medical MD LLCGroup PAC ID 7810312717, 5 clinicians
Chase Brexton Health Services IncGroup PAC ID 5395644835, shared by 6 NPIs, 119 clinicians

Practice addresses (Care Compare)

1629 K St NW
Suite 300
Washington, DC 20006-1631
Phone (877) 258-6331

1800 N Charles St
Suite 208
Baltimore, MD 21201-5907
Phone (410) 539-4282

2015 E W Hwy
Silver Spring, MD 20910-2602
Phone 201870119471

6901 Security Blvd
Windsor Mill, MD 21244-2412
Phone (410) 837-2050

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue398
Removal or shaving of skin growth83

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC006072PAMDFoot & Ankle Surgery Podiatrist
01502MDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Management Services, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: yvonne.umezurike.1@20801.direct.athenahealth.com

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558310400000",
    "number": "1710148556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 SAINT PAUL PL",
            "address_2": "SUITE 420",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212022102",
            "telephone_number": "410-539-4282",
            "fax_number": "410-539-4281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SAINT PAUL PL",
            "address_2": "SUITE 420",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212022102",
            "telephone_number": "410-539-4281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UMEZURIKE",
        "first_name": "YVONNE",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-24",
        "last_updated": "2019-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC006072",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MD",
            "license": "01502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YVONNE",
            "last_name": "OZUZU",
            "prefix": "DR.",
            "credential": "D.P.M",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.