Active NPI
Udoka Euphemia Onukwugha
- Family Nurse Practitioner
- Ellicott City, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R226833
- Practice address
- 4390 Montgomery Rd
Ellicott City, MD 21043-6068 - Phone
- (410) 203-1171
- NPI assigned
- Nov 6, 2019
- Last updated
- Jan 7, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| R226833 | MD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MNR Industries, LLC | Current | Accepting new patients | |
| MNR Industries, LLC | Current | Accepting new patients | |
| MNR Industries, LLC | Current | Accepting new patients | |
| Hervolve Wellness LLC | Current | Accepting new patients | |
| MNR Industries, LLC | Current | Accepting new patients | |
| MNR Industries LLC | Current | 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.
-
dba ExpressCare of Largo
- Urgent Care Clinic/Center
- Upper Marlboro, MD
- NPI 1194195008
-
- Urgent Care Clinic/Center
- Bel Air, MD
- NPI 1649089418
-
dba ExpressCare of Mount Airy
- Urgent Care Clinic/Center
- Mount Airy, MD
- NPI 1073963146
-
dba Children's Urgent Care of Westminster
- Urgent Care Clinic/Center
- Westminster, MD
- NPI 1922686815
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; 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.