Sussan Ononaku, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R144853 Issued in MD

Practice address

7350 Van Dusen Rd Ste 340
Laurel, MD 20707-5264

Phone

(240) 423-2043

NPI assigned

Feb 24, 2014

Last updated

Apr 12, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Matobi Family Healthcare,LLCGroup PAC ID 8628309762, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BAFGCA

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.

• Matobi Family Healthcare,LLC

  • Primary Care Clinic/Center
  • Laurel, MD
  • NPI 1831750546

  DC

  Medicare reassignment Care Compare group NPD Authorized official
• Maryland Medical First P.a.

  • Internal Medicine Physician
  • Baltimore, MD
  • NPI 1013005016

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Matobi Family Healthcare,LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Laurel, MD
  • NPI 1548933302

  Psychiatric/Mental Health

  NPD Authorized official
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1393200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1982029203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12203 LOCH LYNN CT",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207082409",
            "telephone_number": "240-423-2043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7350 VAN DUSEN RD STE 340",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075264",
            "telephone_number": "240-423-2043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONONAKU",
        "first_name": "SUSSAN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-24",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R144853",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R144853",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iria A Ondo Bengone, DDS
• Desiree S Ong, M.D.
• Funmilayo Oni, CRNP
• Onic Medical Services, LLC
• Onic Medical Supply, LLC
• Goldmay Ogbenyalu Onuma, PMHNP
• Philomena Onwuegbule, CRNP FAMILY
• Chinyelu Onwumbiko, PHARMD
• Francisca Onyegbula
• Adanna Onyewu

• Family Nurse Practitioner in Laurel, MD
• Providers in Laurel, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.