Organization Active NPI

Toseg Medical Center, LLC

  • Family Medicine Physician
  • Gaithersburg, MD
National Provider Identifier
1942834890
Registry record updated Mar 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TOSEG MEDICAL CENTER, LLC
Practice address
19650 Club House Rd Ste 104
Gaithersburg, MD 20886-3039
Phone
(410) 970-2640
NPI assigned
Mar 1, 2020
Last updated
Mar 1, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2020

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

Authorized official

Name
Olukemi Ogunmakinwa, NPNPI 1629439948
Title
Owner
Phone
(240) 392-0814

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

19650 Club House Rd Ste 104
Gaithersburg, MD 20886-3039

Mailing address

19650 Club House Rd Ste 104
Gaithersburg, MD 20886-3039

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200409002310 DC Part B Supplier - Clinic/Group Practice 1759710940 Receives reassigned benefits from 1 practitioner
Practice locations: Montgomery Village, MD

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20992/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1583020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583020800000",
    "number": "1942834890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19650 CLUB HOUSE RD STE 104",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208863039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19650 CLUB HOUSE RD STE 104",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208863039",
            "telephone_number": "410-970-2640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOSEG MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-01",
        "last_updated": "2020-03-01",
        "certification_date": "2020-03-01",
        "status": "A",
        "authorized_official_last_name": "OGUNMAKINWA",
        "authorized_official_first_name": "OLUKEMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-392-0814",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2020; 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.