Individual provider Active NPI

Erika Justine Russell - Ofori, DO

  • Emergency Medicine Physician
  • Lanham, MD
National Provider Identifier
1770016651
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
H91161 Issued in MD
Practice address
8118 Good Luck Rd
Lanham, MD 20706-3574
Phone
(240) 686-2300
Fax
(240) 686-2330
NPI assigned
Apr 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X H91161 MD Primary

Addresses

Primary practice location

8118 Good Luck Rd
Lanham, MD 20706-3574

Mailing address

1530 Key Blvd
Apt 723
Arlington, VA 22209-1531

Other practice location 1

1530 Key Blvd
apt 723
Arlington, VA 22209-1531
Phone (616) 920-2082

Other names 1

  • Erika Russell Former 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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210825003761 MD Practitioner - Emergency Medicine 9638574882 Reassigns benefits to 2 organizations
I20210825003906 DC Practitioner - Emergency Medicine 9638574882 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H91161MDMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Emergency Medicine Associates, PA Emergency Medicine CurrentSince Dec 1, 2022 Accepting new patients
Emergency Medicine Associates P.a., P.C. Emergency Medicine CurrentSince Aug 1, 2021 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Aug 1, 2021 Accepting new patients

Locations

821 N Eutaw St
Baltimore, MD 21201
Phone (410) 225-9185

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

12420 Milestone Center Dr
Ste 200
Germantown, MD 20876
Phone (336) 509-7515

8118 Good Luck Rd
Lanham Seabrook, MD 20706
Phone (301) 552-8608

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

Interoperability endpoints

  • Direct secure messaging: erussell976411@direct.umm.edu

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": "1491436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1770016651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 KEY BLVD",
            "address_2": "APT 723",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222091531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8118 GOOD LUCK RD",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063574",
            "telephone_number": "240-686-2300",
            "fax_number": "240-686-2330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1530 Key Blvd",
            "address_2": "apt 723",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222091531",
            "country_code": "US",
            "telephone_number": "616-920-2082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSELL - OFORI",
        "first_name": "ERIKA",
        "middle_name": "JUSTINE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-06",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "H91161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIKA",
            "last_name": "RUSSELL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lanham, MD

Sources for this page

Verify at the official NPI Registry.