DR. EJIKEME UCHENNA NWOKOLO MD
NPI 1457304396
Internal Medicine in Lutherville, MD

Active since May 19, 2006PECOS Enrolled
83.58/100
CMS Quality Rating
12221 TULLAMORE RD, LUTHERVILLE, MD 21093(410) 469-5980(410) 469-5851 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 12, 2025, Mar 9, 2022 (2 updates tracked since 2022).

About Dr. Ejikeme Uchenna Nwokolo Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EJIKEME UCHENNA NWOKOLO MD (NPI 1457304396) is an individual internal medicine provider in Lutherville, Maryland, licensed in Maryland (D77814) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Stanton, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1457304396
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. EJIKEME UCHENNA NWOKOLOCredential: MD
Location Address12221 TULLAMORE RDLutherville, MD 21093-7816
Mailing Address12221 Tullamore RdLutherville, MD 21093-7816 · (410) 469-5980 · Fax (410) 469-5851
Fax(410) 469-5851
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateMay 19, 2006
Last NPPES UpdateJune 12, 20252 updates tracked since enumeration
NPPES CertifiedJune 12, 2025
NPI 1457304396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in MD · D77814 Licensed in TN · 40592
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

12221 TULLAMORE RD, Lutherville, MD 21093

Secondary Practice Location 1

Location 117 First Street EastStanton, TN 38069 · Phone (731) 548-2232 · Fax (731) 548-2236

Other Identifiers 1

Other40592TN · License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Ejikeme Uchenna Nwokolo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3375554470
PECOS Enrollment IDI20150827001439
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21093 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.15
Promoting Interoperability100
Improvement Activities40
Cost62.64

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
13 suppliers22 claims64 services$5.78 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers13 claims21 services$0.97 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
12221 TULLAMORE RD
LUTHERVILLE, MD 21093
Internal Medicine
12221 TULLAMORE RD
LUTHERVILLE TIMONIUM, MD 21093
Internal Medicine (Hematology & Oncology)
12221 TULLAMORE RD
LUTHERVILLE TIMONIUM, MD 21093
Internal Medicine (Cardiovascular Disease)
12221 TULLAMORE RD, SUITE 3
LUTHERVILLE TIMONIUM, MD 21093
Pediatrics
12221 TULLAMORE RD
LUTHERVILLE, MD 21093
Family Medicine (Geriatric Medicine)
12221 TULLAMORE RD
LUTHERVILLE TIMONIUM, MD 21093
Obstetrics & Gynecology
12221 TULLAMORE RD
LUTHERVILLE TIMONIUM, MD 21093
Internal Medicine
12221 TULLAMORE RD
LUTHERVILLE, MD 21093

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ejikeme Nwokolo's NPI number?

The NPI number for Ejikeme Nwokolo is 1457304396. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Where is Ejikeme Nwokolo located?

Ejikeme Nwokolo practices at 12221 Tullamore Rd, Lutherville, MD 21093. The listed phone number is (410) 469-5980.

What is Ejikeme Nwokolo's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ejikeme Nwokolo enrolled in Medicare?

Yes. Ejikeme Nwokolo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ejikeme Nwokolo was last updated on June 12, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.