OBIAGELI DURU ANOUMATACKY CRNP
NPI 1508244161
Nurse Practitioner - Family in Germantown, MD

Active since May 14, 2015PECOS EnrolledAccepts Medicare Assignment
19735 GERMANTOWN RD, GERMANTOWN, MD 20874(301) 634-9600(301) 493-8553 Get Directions Write a Review

NPPES record last updated: November 8, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 8, 2016, Mar 22, 2016 (2 updates tracked since 2016).

About Obiageli Duru Anoumatacky Crnp NPPES

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

OBIAGELI DURU ANOUMATACKY CRNP (NPI 1508244161) is an individual family provider in Germantown, Maryland, licensed in Maryland (R193298) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1508244161
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameOBIAGELI DURU ANOUMATACKYCredential: CRNP
Location Address19735 GERMANTOWN RDGermantown, MD 20874-1214
Mailing Address9309 Old Georgetown RdBethesda, MD 20814-1620 · (301) 634-9600 · Fax (301) 493-8553
Fax(301) 493-8553
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMay 14, 2015
Last NPPES UpdateNovember 8, 20162 updates tracked since enumeration
✔ NPI 1508244161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in MD · R193298✔ Licensed in DC · 1022296
Also ListedRegistered NurseTaxonomy 163W00000X · License RN1022296 (DC), R193298 (MD)
19735 GERMANTOWN RD, Germantown, MD 20874

Other Names 1

Former Name (1)Obiageli Littlejohn Crnp

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Obiageli Duru Anoumatacky Crnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6204133010
PECOS Enrollment IDI20160322001820
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.

Medicare Billing Reassignment

Medicare enrollment records show Obiageli Duru Anoumatacky reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Public Health, State or Local
12900 MIDDLEBROOK RD STE 24
Germantown, MD 20874
  • Reassigned Medicare billing, District of Columbia enrollment
  • 74 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20874 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

Other Providers at the Same Location NPPES 20

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

Physical Therapist
19735 GERMANTOWN RD, SUITE 120
GERMANTOWN, MD 20874
Clinic/Center (Federally Qualified Health Center (FQHC))
19735 GERMANTOWN RD, SUITE 300
GERMANTOWN, MD 20874
Pediatrics (Adolescent Medicine)
19735 GERMANTOWN RD, SUITE 200
GERMANTOWN, MD 20874
Pain Medicine (Interventional Pain Medicine)
19735 GERMANTOWN RD, SUITE 360
GERMANTOWN, MD 20874
Pediatrics
19735 GERMANTOWN RD, SUITE 200
GERMANTOWN, MD 20874
Registered Nurse
19735 GERMANTOWN RD, STE
GERMANTOWN, MD 20874
Pediatrics (Adolescent Medicine)
19735 GERMANTOWN RD, SUITE 200
GERMANTOWN, MD 20874
Dermatology
19735 GERMANTOWN RD, SUITE 210
GERMANTOWN, MD 20874

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 Obiageli Duru Anoumatacky's NPI number?

The NPI number for Obiageli Duru Anoumatacky is 1508244161. It was assigned to this individual provider in the NPPES registry on May 14, 2015. The provider is also known as Obiageli Littlejohn Crnp.

Where is Obiageli Duru Anoumatacky located?

Obiageli Duru Anoumatacky practices at 19735 Germantown Rd, Germantown, MD 20874. The listed phone number is (301) 634-9600.

What is Obiageli Duru Anoumatacky's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Obiageli Duru Anoumatacky enrolled in Medicare?

Yes. Obiageli Duru Anoumatacky is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Obiageli Duru Anoumatacky's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Obiageli Duru Anoumatacky reassigns Medicare benefits to Montgomery County Maryland Government (Germantown, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Obiageli Duru Anoumatacky's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Obiageli Duru Anoumatacky was last updated on November 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.