Individual provider Active NPI

Victor CHI Onyejiaka, MD

  • Nephrology Physician
  • Baltimore, MD
National Provider Identifier
1770626087
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
D0046529 Issued in MD
Practice address
4115 Wilkens Ave
Baltimore, MD 21229
Phone
(410) 536-4100
Fax
(410) 536-4102
NPI assigned
Feb 15, 2007
Last updated
May 5, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X D0046529 MD Primary

Addresses

Primary practice location

4115 Wilkens Ave
Baltimore, MD 21229

Mailing address

4115 Wilkens Ave
Baltimore, MD 21229
Phone (410) 536-4100

Other identifiers 2

IdentifierTypeStateIssuer
026927100MedicaidDC
284900301MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, PA, OK, DE5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20100917000011 DC Practitioner - Internal MedicinePractitioner - Nephrology 7719978238 Reassigns benefits to 1 organization
I20121002000171 MD Practitioner - Internal MedicinePractitioner - Nephrology 7719978238
I20220620001522 PA Practitioner - Internal Medicine 7719978238 Reassigns benefits to 1 organization
I20240809003084 OK Practitioner - Internal MedicinePractitioner - Nephrology 7719978238 Reassigns benefits to 2 organizations
I20260515002518 DE Practitioner - Internal Medicine 7719978238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harmony HealthcareGroup PAC ID 9638533128, 7 clinicians

Practice addresses (Care Compare)

1201 N Market St
Suite 111
Wilmington, DE 19801-1156
Phone (302) 406-1620

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Wellness Anadarko Inc CurrentSince Jun 8, 2024 Accepting new patients
Rural Wellness Fairfax Inc CurrentSince Jun 8, 2024 Accepting new patients
Rural Wellness Anadarko Inc CurrentSince Jun 8, 2024 Accepting new patients
Ahn Hospitalist Group, LTD CurrentSince May 19, 2022 Accepting new patients
Rural Wellness Fairfax Inc CurrentSince Jun 8, 2024 Accepting new patients
Wheaton Operator LLC Past Accepting new patients
Granite MD Opco Past Accepting new patients

Locations

1002 E Central Blvd
Anadarko, OK 73005
Phone (405) 247-2551

40 Hospital Rd
Fairfax, OK 74637
Phone (918) 642-8827

Dept 960617
Oklahoma City, OK 73196

2308 W Highway 66
Stroud, OK 74079
Phone (918) 968-3571

835 Hospital Rd
Indiana, PA 15701
Phone (724) 357-7000

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, 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": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209945600000",
    "number": "1770626087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4115 WILKENS AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21229",
            "telephone_number": "410-536-4100",
            "fax_number": "410-536-4102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4115 WILKENS AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21229",
            "telephone_number": "410-536-4100",
            "fax_number": "410-536-4102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONYEJIAKA",
        "first_name": "VICTOR",
        "middle_name": "CHI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2008-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MD",
            "license": "D0046529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026927100",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "284900301",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.