Individual provider Active NPI

Saba T Ucbamichael, CRNP-FAMILY

  • Family Nurse Practitioner
  • Takoma Park, MD
National Provider Identifier
1821643396
Registry record updated Aug 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R194566 Issued in MD
Practice address
7600 Carroll Ave
Takoma Park, MD 20912-6367
Phone
(301) 891-5070
NPI assigned
Aug 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2019

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 R194566 MD Primary

Addresses

Primary practice location

7600 Carroll Ave
Takoma Park, MD 20912-6367

Mailing address

3842 Cullingworth Rd
Burtonsville, MD 20866-3114
Phone (202) 290-4850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191211001560 DC Practitioner - Nurse Practitioner 5193158897 Reassigns benefits to 2 organizations
I20201029000903 MD Practitioner - Nurse Practitioner 5193158897 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medstar Urgent Care LLCGroup PAC ID 9335303155, 300 clinicians
Suburban/NRH Medical Rehabilitation IncGroup PAC ID 6507846771, 885 clinicians

Practice addresses (Care Compare)

11915 Georgia Ave
Wheaton, MD 20902-2065
Phone (301) 942-4505

12111 Darnestown Rd
Gaithersburg, MD 20878-3211
Phone (301) 926-3095

12220 Rockville Pike
Rockville, MD 20852-1608
Phone (301) 881-0103

18045 Georgia Ave
Olney, MD 20832-2237
Phone (301) 774-8026

19777 Frederick Rd
Germantown, MD 20876-1307
Phone (240) 388-9314

20 University Blvd E
Silver Spring, MD 20901-2436
Phone (240) 863-2720

6317 York Rd
Baltimore, MD 21212-2310
Phone (443) 777-6890

6410 Rockledge Dr
Bethesda, MD 20817-1844

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R194566MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Urgent Care LLC CurrentSince Dec 1, 2020 Accepting new patients
Medstar Urgent Care LLC Current Accepting new patients
Medstar Urgent Care LLC CurrentSince Dec 1, 2020 Accepting new patients
Medstar Urgent Care, LLC CurrentSince Dec 1, 2020 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Nov 1, 2019 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Nov 1, 2019 Accepting new patients

Locations

2114 Generals Hwy
Annapolis, MD 21401
Phone (410) 224-6483

6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890

6334 Cedar Ln
Columbia, MD 21044
Phone (301) 596-6483

7698 Dorchester Blvd
Ste 204
Hanover, MD 21076

8118 Good Luck Rd
Lanham Seabrook, MD 20706
Phone (301) 552-8608

12220 Rockville Pike
Rockville, MD 20852
Phone (301) 468-6483

7600 Carroll Ave
Takoma Park, MD 20912
Phone (301) 791-7600

3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960

3350 Crain Hwy
Waldorf, MD 20603
Phone (443) 332-4260

11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1564617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1821643396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3842 CULLINGWORTH RD",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208663114",
            "telephone_number": "202-290-4850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 CARROLL AVE",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209126367",
            "telephone_number": "301-891-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UCBAMICHAEL",
        "first_name": "SABA",
        "middle_name": "T",
        "credential": "CRNP-FAMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-01",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R194566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Takoma Park, MD

Sources for this page

Verify at the official NPI Registry.