Active NPI
Charles Anthony Umosella, MD
- Family Medicine Physician
- Bethesda, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- D0030484
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 215669156 | Other | CHAMPUS | |
| 383311900 | Medicaid | MD | |
| 4088234 | Other | AETNA | |
| 42213304 | Other | BCBS OF MARYLAND | |
| 0202 | Other | BCBS OF THE NATIONAL CAPI | |
| 110180692 | Other | MEDICARE RAILROAD | |
| 1462913 | Other | UNITED 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
Enrollment records 1
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
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
- Adventist Home Health Services, Inc.
- Amedisys Home Health Care
- Sibley Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0030484 | MD | MD | Family Medicine Physician |
| 0101035615 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group, LLC | Family Medicine | Current | Accepting new patients |
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Privia Care Center LLC | Current | Accepting new patients | |
| Privia Care Center LLC | Current | 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
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
- 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.
-
- Internal Medicine Physician
- Arlington, VA
- NPI 1013042480
DC, Family Medicine
-
- Rehabilitation Clinic/Center
- Bethesda, MD
- NPI 1457354748
-
- Internal Medicine Physician
- Baltimore, MD
- NPI 1730664012
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Rockville, MD
- NPI 1811715436
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Family Medicine Physician
- Fairfax, VA
- NPI 1215307400
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Silver Spring, MD
- NPI 1598826448
-
- Home Health Agency
- Largo, MD
- NPI 1831143908
-
- Home Health Agency
- Greenbelt, MD
- NPI 1154437879
-
- General Acute Care Hospital
- Washington, DC
- NPI 1366492977
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.