Individual provider Active NPI

Chukwudozie Mochaa-Uchefuna, CRNP-FAMILY

  • Family Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1780095000
Registry record updated May 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R183739 Issued in MD
Practice address
22 S Athol Ave
Baltimore, MD 21229-3405
Phone
(410) 947-3052
NPI assigned
May 9, 2014
Last updated
May 9, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R183739 MD Primary

Addresses

Primary practice location

22 S Athol Ave
Baltimore, MD 21229-3405

Mailing address

22 S Athol Ave
Baltimore, MD 21229-3405
Phone (410) 947-3052

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140731000297 MD Practitioner - Nurse Practitioner 8325264179 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maryland Medical First PAGroup PAC ID 1850329715, 26 clinicians

Practice addresses (Care Compare)

8901 Clement Ave
Parkville, MD 21234-2603
Phone (410) 661-4670

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.35 of 100Reported as group
Quality
53.9
Promoting interoperability
99
Improvement activities
40
Cost
71.42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R183739MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Medical First P.a. CurrentSince Sep 1, 2015 Accepting new patients
Premium Medical LLC CurrentSince Jun 1, 2025 Accepting new patients

Locations

8901 Clement Ave
Parkville, MD 21234
Phone (410) 661-4670

85 Main St
Ste 4A
Reisterstown, MD 21136
Phone (443) 722-0793

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BAFGCA

Organizations & group practices 2

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 1

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": "1399593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399593600000",
    "number": "1780095000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 S ATHOL AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212293405",
            "telephone_number": "410-947-3052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 S ATHOL AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212293405",
            "telephone_number": "410-947-3052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOCHAA-UCHEFUNA",
        "first_name": "CHUKWUDOZIE",
        "credential": "CRNP-FAMILY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-09",
        "last_updated": "2014-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R183739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.