Individual provider Active NPI

Udoka Euphemia Onukwugha

  • Family Nurse Practitioner
  • Ellicott City, MD
National Provider Identifier
1851935597
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R226833 Issued in MD
Practice address
4390 Montgomery Rd
Ellicott City, MD 21043-6068
Phone
(410) 203-1171
NPI assigned
Nov 6, 2019
Last updated
Jan 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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 R226833 MD Primary

Addresses

Primary practice location

4390 Montgomery Rd
Ellicott City, MD 21043-6068

Mailing address

4390 Montgomery Rd
Ellicott City, MD 21043-6068
Phone (410) 203-1171

Other practice location 1

603 Post Office Rd Ste 108
Waldorf, MD 20602-1914
Phone (240) 585-7128

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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
I20210331000933 MD Practitioner - Nurse Practitioner 2567879919 Reassigns benefits to 1 organization
I20210331002161 DC Practitioner - Nurse Practitioner 2567879919 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
Group practices
MNR Industries, LLCGroup PAC ID 7416908843, 142 clinicians

Practice addresses (Care Compare)

10416 Campus Way S
Expresscare of Largo
Largo, MD 20774-1390
Phone (301) 316-9620

1307 Merritt Blvd
Dundalk, MD 21222-2109
Phone (410) 288-2121

1354 Eastern Blvd
Expresscare of Essex
Essex, MD 21221-3423
Phone (443) 231-5203

1505 E Churchville Rd
Bel Air, MD 21014-4742

153 Ritchie Hwy
Severna Park, MD 21146-1116
Phone (410) 554-0571

3815 Wilkens Ave
Expresscare of Wilkens
Baltimore, MD 21229-5036
Phone (667) 212-5920

4009 N Point Blvd
105 Expresscare of North Point
Dundalk, MD 21222-3619
Phone (410) 477-1039

4900 Beaver Run CT
Ellicott City, MD 21043-7917
Phone (443) 542-9630

5400 Ritchie Hwy
Brooklyn, MD 21225-3443
Phone (443) 457-6694

6000 Laurel Bowie Rd
Bowie, MD 20715-4000
Phone (301) 383-0330

7566 Ridge Rd
Hanover, MD 21076-1373
Phone (410) 904-5910

885 State Route 3 N
Expresscare of Gambrills
Gambrills, MD 21054-1620
Phone (443) 302-2297

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R226833MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MNR Industries, LLC Current Accepting new patients
MNR Industries, LLC CurrentSince Jan 1, 2024 Accepting new patients
MNR Industries, LLC Current Accepting new patients
Hervolve Wellness LLC CurrentSince Oct 2, 2025 Accepting new patients
MNR Industries, LLC CurrentSince Jan 1, 2024 Accepting new patients
MNR Industries LLC CurrentSince Jan 1, 2024 Accepting new patients
MNR Industries LLC Past Accepting new patients
MNR Industries, LLC. Past Accepting new patients

Locations

1505 E Churchville Rd
Bel Air, MD 21014
Phone (410) 420-6970

1505 E Churchville Rd
#A
Bel Air, MD 21014
Phone (410) 420-6970

6000 Laurel Bowie Rd
Bowie, MD 20715
Phone (301) 383-0330

7651 Matapeake Business Dr
Ste 212
Brandywine, MD 20613
Phone (301) 404-2245

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1851935597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4390 MONTGOMERY RD",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210436068",
            "telephone_number": "410-203-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4390 MONTGOMERY RD",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210436068",
            "telephone_number": "410-203-1171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "603 Post Office Rd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Waldorf",
            "state": "MD",
            "postal_code": "206021914",
            "country_code": "US",
            "telephone_number": "240-585-7128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ONUKWUGHA",
        "first_name": "UDOKA",
        "middle_name": "EUPHEMIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-06",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R226833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

Verify at the official NPI Registry.