Individual provider Active NPI

Patricia Obiageli Ndubueze, MD

  • Case Management Registered Nurse
  • Hyattsville, MD
National Provider Identifier
1952997587
Registry record updated Dec 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
R164975 Issued in MD
Practice address
7939 New Hampshire Ave
Hyattsville, MD 20783-4609
Phone
(301) 434-3121
NPI assigned
Dec 17, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X R164975 MD Primary

Addresses

Primary practice location

7939 New Hampshire Ave
Hyattsville, MD 20783-4609

Mailing address

7717 Finns Lane Lanham
Lane Lanham
Hyattsville, MD 20706-4609
Phone (301) 728-5198

Electronic endpoints 3

TypeEndpointUseAffiliation
CONNECT URL https://www.cvs.com/international.html Direct
CONNECT URL https://www.cvs.com/international.html Direct
CONNECT URL https://www.cvs.com/international.html Direct

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R164975MDMDCase Management Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Solution LLC Current Accepting new patients
Alpha Health Support Services LLC 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1608163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1952997587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7717 FINNS LANE LANHAM",
            "address_2": "LANE LANHAM",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207064609",
            "telephone_number": "301-728-5198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7939 NEW HAMPSHIRE AVE",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207834609",
            "telephone_number": "301-434-3121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NDUBUEZE",
        "first_name": "PATRICIA",
        "middle_name": "OBIAGELI",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-17",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "MD",
            "license": "R164975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cvs.com/international.html",
            "affiliation": "N",
            "endpointDescription": "CVS Pharmacy is an American retail corporation. Owned by CVS Health, it is headquartered in Woonsocket, Rhode Island.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7939 New Hampshire Ave",
            "city": "Hyattsville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207834609",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cvs.com/international.html",
            "affiliation": "N",
            "endpointDescription": "CVS Pharmacy is an American retail corporation. Owned by CVS Health, it is headquartered in Woonsocket, Rhode Island.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7939 New Hampshire Ave",
            "city": "Hyattsville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207834609",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cvs.com/international.html",
            "affiliation": "N",
            "endpointDescription": "CVS Pharmacy is an American retail corporation. Owned by CVS Health, it is headquartered in Woonsocket, Rhode",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7939 New Hampshire Ave",
            "city": "Hyattsville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207834609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; 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.