Individual provider Active NPI

Uzodinma Ihedinachi

  • Home Health Registered Nurse
  • Waldorf, MD
National Provider Identifier
1952056053
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
RN177065 Issued in MD
Practice address
3013 Kaspar CT
Waldorf, MD 20603-5705
Phone
(703) 362-2725
Fax
(240) 523-7393
NPI assigned
Feb 16, 2022
Last updated
Feb 16, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WH0200X RN177065 MD Primary

Addresses

Primary practice location

3013 Kaspar CT
Waldorf, MD 20603-5705

Mailing address

3013 Kaspar CT
Waldorf, MD 20603-5705
Phone (703) 362-2725

Other identifiers 1

IdentifierTypeStateIssuer
166104300MedicaidMD

Other names 1

  • Uzodinma Ihedinachi Professional name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN177065MDMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Healthcare Systems, Inc Current Accepting new patients
Metro Healthcare Systems, Inc Single Specialty Current Accepting new patients

Organizations & group practices 2

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": "1644969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1952056053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3013 KASPAR CT",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206035705",
            "telephone_number": "703-362-2725",
            "fax_number": "240-523-7393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3013 KASPAR CT",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206035705",
            "telephone_number": "703-362-2725",
            "fax_number": "240-523-7393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IHEDINACHI",
        "first_name": "UZODINMA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-16",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": "MD",
            "license": "RN177065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166104300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "UZODINMA",
            "last_name": "IHEDINACHI",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.