Organization Active NPI

Citi Health Care Services Inc

  • Primary Care Clinic/Center
  • Upper Marlboro, MD
National Provider Identifier
1780495804
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CITI HEALTH CARE SERVICES INC
Practice address
1504 Whistling Duck Dr
Upper Marlboro, MD 20774-7103
Phone
(301) 523-7436
NPI assigned
Jan 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Authorized official

Name
Dr. Eunice Udiani, DNPNPI 1730441239
Title
Owner
Phone
(301) 523-7436

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1504 Whistling Duck Dr
Upper Marlboro, MD 20774-7103

Mailing address

1504 Whistling Duck Dr
Upper Marlboro, MD 20774-7103
Phone (301) 523-7436

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251023003166 DC Part B Supplier - Clinic/Group Practice 8224526975 Receives reassigned benefits from 1 practitioner
Practice locations: Upper Marlboro, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1737072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737072000000",
    "number": "1780495804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 WHISTLING DUCK DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207747103",
            "telephone_number": "301-523-7436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 WHISTLING DUCK DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207747103",
            "telephone_number": "301-523-7436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITI HEALTH CARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-17",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A",
        "authorized_official_last_name": "UDIANI",
        "authorized_official_first_name": "EUNICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-523-7436",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.