Active NPI
Mofikpara Aureolus Wright, MD
- Internal Medicine Physician
- Berwyn Heights, MD
National Provider Identifier
1851348742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D0050821
- Practice address
- 6201 Greenbelt Rd
Berwyn Heights, MD 20740-2354 - Phone
- (301) 486-4587
- Fax
- (301) 486-4558
- NPI assigned
- May 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D0050821 | MD | Primary |
Addresses
Primary practice location
6201 Greenbelt Rd
Berwyn Heights, MD 20740-2354
Mailing address
12617 Shoal Creek Ter
Beltsville, MD 20705-1080
Phone (202) 236-2309
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 090812600 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0050821 | MD | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490054400000",
"number": "1851348742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12617 SHOAL CREEK TER",
"city": "BELTSVILLE",
"state": "MD",
"postal_code": "207051080",
"telephone_number": "202-236-2309",
"fax_number": "301-576-3826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6201 GREENBELT RD",
"city": "BERWYN HEIGHTS",
"state": "MD",
"postal_code": "207402354",
"telephone_number": "301-486-4587",
"fax_number": "301-486-4558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "MOFIKPARA",
"middle_name": "AUREOLUS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-27",
"last_updated": "2017-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D0050821",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "090812600",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Berwyn Heights, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.