Individual provider Active NPI

Irene Osaro Odigie, MD

  • Emergency Medicine Physician
  • Lorton, VA
National Provider Identifier
1720123409
Registry record updated Oct 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0101252923 Issued in VA
Practice address
9321 Sanger St
Lorton, VA 22079-2720
Phone
(703) 982-8324
Fax
(703) 982-8351
NPI assigned
Feb 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 0101252923 VA Primary
Emergency Medicine Physician 207P00000X D0070177 MD

Addresses

Primary practice location

9321 Sanger St
Lorton, VA 22079-2720

Mailing address

9321 Sanger St
Lorton, VA 22079-2720
Phone (703) 982-8324

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, VA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20101027000211 MD Practitioner - Emergency Medicine 4688868300 Reassigns benefits to 1 organization
I20130528000637 DC Practitioner - Emergency Medicine 4688868300 Reassigns benefits to 2 organizations
I20160126001929 VA Practitioner - Emergency Medicine 4688868300 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Wayne State University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Urgent Care LLCGroup PAC ID 9335303155, 300 clinicians

Practice addresses (Care Compare)

11915 Georgia Ave
Wheaton, MD 20902-2065
Phone (301) 942-4505

18045 Georgia Ave
Olney, MD 20832-2237
Phone (301) 774-8026

201 Shorebird St
Suite B
Frederick, MD 21701-1962
Phone (240) 422-8112

3064 Waldorf Market PL
Waldorf, MD 20603-4871
Phone (301) 932-5960

Merit-based Incentive Payment System (MIPS)

Final score
88.6 of 100Reported as group
Quality
84.42
Promoting interoperability
100
Improvement activities
40
Cost
77.58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0070177MDMDEmergency Medicine Physician
0101252923VAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Ucc LLC CurrentSince Nov 6, 2023 Accepting new patients
Medstar Urgent Care LLC CurrentSince Jan 26, 2025 Accepting new patients
Inova Health Care Services Current Accepting new patients
Medstar Urgent Care, LLC Current Accepting new patients
Inova Health Care Services CurrentSince Nov 30, 2015 Accepting new patients
Medstar Urgent Care LLC Current Accepting new patients
Medstar Urgent Care LLC CurrentSince Jan 26, 2025 Accepting new patients
Yardmore Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Parker'S Lane Emergency Physicians LLC Emergency Medicine Past Accepting new patients

Locations

6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890

3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960

11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505

2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000

43135 Broadlands Center Plz
Ste 123
Broadlands, VA 20148
Phone (571) 206-0742

6201 Centreville Rd
Ste 200
Centreville, VA 20121
Phone (703) 830-5600

24801 Pinebrook Rd
Ste 110
Chantilly, VA 20152
Phone (703) 722-2500

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

9321 Sanger St
Lorton, VA 22079
Phone (703) 982-8324

180 Maple Ave W
Vienna, VA 22180
Phone (703) 938-5300

Organizations & group practices 9

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": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383091200000",
    "number": "1720123409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9321 SANGER ST",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220792720",
            "telephone_number": "703-982-8324",
            "fax_number": "703-982-8351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9321 SANGER ST",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220792720",
            "telephone_number": "703-982-8324",
            "fax_number": "703-982-8351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODIGIE",
        "first_name": "IRENE",
        "middle_name": "OSARO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2013-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101252923",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "D0070177",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorton, VA

Sources for this page

Verify at the official NPI Registry.