Individual provider Active NPI

Elham Oumer, PA-C

  • Physician Assistant
  • Takoma Park, MD
National Provider Identifier
1932651312
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0006674 Issued in MD
Practice address
7610 Carroll Ave Ste 100
Takoma Park, MD 20912-6311
Phone
(301) 891-2500
Fax
(301) 448-1679
NPI assigned
Nov 1, 2016
Last updated
Jun 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X C0006674 MD
Physician Assistant 363A00000X 25MP00415300 NJ
Physician Assistant 363A00000X C0006674 MD Primary

Addresses

Primary practice location

7610 Carroll Ave Ste 100
Takoma Park, MD 20912-6311

Mailing address

7610 Carroll Ave Ste 100
Takoma Park, MD 20912-6311
Phone (301) 891-2500

Other practice location 1

9201 cherry lane
laurel, MD 20708
Phone (301) 497-1590

Other practice location 2

8730 Cherry Ln Ste 10
Laurel, MD 20707-6212
Phone (301) 497-1590

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
I20230629001376 MD Practitioner - Physician Assistant 9234419334 Reassigns benefits to 3 organizations
I20230629001527 DC Practitioner - Physician Assistant 9234419334 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0006674MDMDVascular Surgery Physician
25MP00415300NJMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Cardiovascular Institute LLC CurrentSince May 16, 2023 Accepting new patients

Locations

351 W Camden St
Fl 201
Baltimore, MD 21201
Phone (410) 541-7800

75 Thomas Johnson Dr
Ste I
Frederick, MD 21702
Phone (301) 378-0608

9500 Medical Center Dr
Ste 450
Largo, MD 20774
Phone (301) 864-7100

7610 Carroll Ave
Ste 100
Takoma Park, MD 20912

2812 Old Lee Hwy
Ste 100B
Fairfax, VA 22031
Phone (571) 279-6849

Interoperability endpoints

  • Direct secure messaging: elham.oumer.1@10710.direct.athenahealth.com

Organizations & group practices 5

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": "1477958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1932651312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7610 CARROLL AVE STE 100",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209126311",
            "telephone_number": "301-891-2500",
            "fax_number": "301-448-1679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7610 CARROLL AVE STE 100",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209126311",
            "telephone_number": "301-891-2500",
            "fax_number": "301-448-1679"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9201 cherry lane",
            "address_purpose": "LOCATION",
            "city": "laurel",
            "state": "MD",
            "postal_code": "20708",
            "country_code": "US",
            "telephone_number": "301-497-1590",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8730 Cherry Ln Ste 10",
            "address_purpose": "LOCATION",
            "city": "Laurel",
            "state": "MD",
            "postal_code": "207076212",
            "country_code": "US",
            "telephone_number": "301-497-1590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OUMER",
        "first_name": "ELHAM",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-01",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MD",
            "license": "C0006674",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00415300",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0006674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Takoma Park, MD

Sources for this page

Verify at the official NPI Registry.