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ONYEBUCHI MUDALUE
NPI 1578430260
Nurse Practitioner - Acute Care in Laurel, MD

Active since October 20, 2025PECOS Enrolled
8512 POTOMAC CREEK RD, LAUREL, MD 20724(301) 317-8305 Get Directions Write a Review

NPPES record last updated: March 20, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Onyebuchi Mudalue NPPES

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

ONYEBUCHI MUDALUE (NPI 1578430260) is an individual acute care provider in Laurel, Maryland, licensed in Maryland (R223392) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Baltimore, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1578430260
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameONYEBUCHI MUDALUE
Location Address8512 POTOMAC CREEK RDLaurel, MD 20724-1988
Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (410) 933-0000 · Fax (410) 500-4266
Phone(301) 317-8305
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 20, 2025
Last NPPES UpdateMarch 20, 2026
NPPES CertifiedMarch 20, 2026
✔ NPI 1578430260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in MD · R223392
8512 POTOMAC CREEK RD, Laurel, MD 20724
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Secondary Practice Location 1

Location 14940 Eastern AveBaltimore, MD 21224-2780 · Phone (410) 500-0526 · Fax (410) 550-0000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Onyebuchi Mudalue is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981189560
PECOS Enrollment IDI20260401000565
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 20724 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
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.

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 Onyebuchi Mudalue's NPI number?

The NPI number for Onyebuchi Mudalue is 1578430260. It was assigned to this individual provider in the NPPES registry on October 20, 2025.

Where is Onyebuchi Mudalue located?

Onyebuchi Mudalue practices at 8512 Potomac Creek Rd, Laurel, MD 20724. The listed phone number is (301) 317-8305.

What is Onyebuchi Mudalue's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Onyebuchi Mudalue enrolled in Medicare?

Yes. Onyebuchi Mudalue is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Onyebuchi Mudalue was last updated on March 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.