Individual provider Active NPI

Mfon Valencia Umoren Elegbede, M.D.

  • Pediatrics Physician
  • Owings Mills, MD
National Provider Identifier
1952786840
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D0093838 Issued in MD
Practice address
10045 Red Run Blvd Ste 135
Owings Mills, MD 21117-5916
Phone
(410) 363-2240
Fax
(410) 363-3858
NPI assigned
Jul 21, 2015
Last updated
Dec 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X D0093838 MD Primary

Addresses

Primary practice location

10045 Red Run Blvd Ste 135
Owings Mills, MD 21117-5916

Mailing address

10045 Red Run Blvd Ste 135
Owings Mills, MD 21117-5916
Phone (410) 363-2240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221207000046 MD Practitioner - Pediatric Medicine 5496019358 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0093838MDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC Pediatrics Current Accepting new patients
Privia Medical Group, LLC CurrentSince Aug 29, 2022 Accepting new patients
Privia Medical Group, LLC CurrentSince Aug 29, 2022 Accepting new patients

Locations

133 Defense Hwy
Ste 112
Annapolis, MD 21401
Phone (410) 573-0140

10045 Red Run Blvd
Ste 135
Owings Mills, MD 21117
Phone (410) 363-2240

Interoperability endpoints

  • Direct secure messaging: mfon.valencia.elegbede.1@8042.direct.athenahealth.com

Organizations & group practices 3

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": "1437436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1952786840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10045 RED RUN BLVD STE 135",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175916",
            "telephone_number": "410-363-2240",
            "fax_number": "410-363-3858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10045 RED RUN BLVD STE 135",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175916",
            "telephone_number": "410-363-2240",
            "fax_number": "410-363-3858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELEGBEDE",
        "first_name": "MFON VALENCIA",
        "middle_name": "UMOREN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-21",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0093838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

Verify at the official NPI Registry.