Individual provider Active NPI

Charles Anthony Umosella, MD

  • Family Medicine Physician
  • Bethesda, MD
National Provider Identifier
1811058951
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0030484 Issued in MD
Practice address
7625 Wisconsin Ave Ste 101
Bethesda, MD 20814-6564
Phone
(301) 951-0420
Fax
(301) 657-5038
NPI assigned
Dec 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D0030484 MD Primary
Family Medicine Physician 207Q00000X MD14489 DC
Family Medicine Physician 207Q00000X 0101035615 VA

Addresses

Primary practice location

7625 Wisconsin Ave Ste 101
Bethesda, MD 20814-6564

Mailing address

7625 Wisconsin Ave Ste 101
Bethesda, MD 20814-6564
Phone (301) 951-0420

Other identifiers 7

IdentifierTypeStateIssuer
215669156OtherCHAMPUS
383311900MedicaidMD
4088234OtherAETNA
42213304OtherBCBS OF MARYLAND
0202OtherBCBS OF THE NATIONAL CAPI
110180692OtherMEDICARE RAILROAD
1462913OtherUNITED HEALTH CARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110413000678 DC Practitioner - Family Practice 5193865137 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Georgetown University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Care Center LLCGroup PAC ID 3274801139, 286 clinicians
Suburban/NRH Medical Rehabilitation IncGroup PAC ID 6507846771, 885 clinicians

Practice addresses (Care Compare)

4910 Massachusetts Ave NW
Suite 114 Grady DC Office
Washington, DC 20016-4384
Phone (202) 686-0813

6410 Rockledge Dr
Suite 600
Bethesda, MD 20817-1844

7625 Wisconsin Ave
Suite 101
Bethesda, MD 20814-6564
Phone (301) 951-0420

Hospital & facility affiliations

  • Medstar Health Home Care Home health agency, Hyattsville, MD, CCN 217150
  • Adventist Home Health Services, Inc. Home health agency, Silver Spring, MD, CCN 217032
  • Amedisys Home Health Care Home health agency, Largo, MD, CCN 217149
  • Sibley Memorial Hospital Hospital, Washington, DC, CCN 090005

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0030484MDMDFamily Medicine Physician
0101035615VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC Family Medicine CurrentSince Jul 28, 2016 Accepting new patients
Privia Medical Group, LLC CurrentSince Jul 28, 2016 Accepting new patients
Privia Care Center LLC CurrentSince Oct 4, 2018 Accepting new patients
Privia Care Center LLC CurrentSince Oct 4, 2018 Accepting new patients
Nova Physician Wellness Center PLLC Family Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

4910 Massachusetts Ave NW
Ste 114
Washington, DC 20016
Phone (202) 244-0812

7625 Wisconsin Ave
Ste 101
Bethesda, MD 20814
Phone (240) 497-1570

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

6188 Oxon Hill Rd
Ste 704
Oxon Hill, MD 20745
Phone (301) 839-2790

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: charles.umosella.1@8042.direct.athenahealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 4

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": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1811058951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7625 WISCONSIN AVE STE 101",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208146564",
            "telephone_number": "301-951-0420",
            "fax_number": "301-657-5638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7625 WISCONSIN AVE STE 101",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208146564",
            "telephone_number": "301-951-0420",
            "fax_number": "301-657-5038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UMOSELLA",
        "first_name": "CHARLES",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0030484",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DC",
            "license": "MD14489",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101035615",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "215669156",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "383311900",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4088234",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MARYLAND",
            "identifier": "42213304",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF THE NATIONAL CAPI",
            "identifier": "0202",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "110180692",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "1462913",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.