NPIMap

Organization Active NPI

Gilead Medical Associates

  • Psychiatry Physician
  • Washington, DC
National Provider Identifier
1831549757
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
GILEAD MEDICAL ASSOCIATES
Practice address
1818 New York Ave NE Ste 213
Washington, DC 20002-1849
Phone
(301) 577-9111
Fax
(301) 577-9199
NPI assigned
Jun 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Authorized official

Name
Dr. Theodore Chinatu Osuala, MDNPI 1356428833
Title
President
Phone
(301) 237-0897

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X DOO64126 MD

Addresses

Primary practice location

1818 New York Ave NE Ste 213
Washington, DC 20002-1849

Mailing address

9470 Annapolis Rd
Suite 117
Lanham, MD 20706-3025
Phone (301) 577-9111

Other practice location 1

9470 Annapolis Rd
Suite 117
Lanham, MD 20706-3025
Phone (301) 577-9111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240402002125 DC Part B Supplier - Clinic/Group Practice 6002254620 Receives reassigned benefits from 1 practitioner
Practice locations: Lanham, MD; Washington, DC

National Provider Directory

National Provider Directory
Tax ID family
Gilead Medical Associates LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1818 New York Ave NE
Ste 213
Washington, DC 20002
Phone (301) 577-9111

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": "1466553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713225600000",
    "number": "1831549757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9470 ANNAPOLIS RD",
            "address_2": "SUITE 117",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063025",
            "telephone_number": "301-577-9111",
            "fax_number": "301-577-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 NEW YORK AVE NE STE 213",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200021849",
            "telephone_number": "301-577-9111",
            "fax_number": "301-577-9199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9470 Annapolis Rd",
            "address_2": "SUITE 117",
            "address_purpose": "LOCATION",
            "city": "Lanham",
            "state": "MD",
            "postal_code": "207063025",
            "country_code": "US",
            "telephone_number": "301-577-9111",
            "fax_number": "301-577-9199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GILEAD MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-22",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A",
        "authorized_official_last_name": "OSUALA",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "CHINATU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-237-0897",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MD",
            "license": "DOO64126",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.