RUTH N. AGWUNA M.D.P.C
NPI 1801352448
Clinic/Center - Primary Care in Ellicott City, MD

Active since February 19, 2019CLIA 21D0959184 · Waiver
5084 DORSEY HALL DR STE 104, ELLICOTT CITY, MD 21042(410) 772-9463(410) 992-3509 Get Directions Write a Review

NPPES record last updated: February 19, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ruth N. Agwuna M.d.p.c NPPES

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

RUTH N. AGWUNA M.D.P.C (NPI 1801352448) is a healthcare organization registered as a primary care in Ellicott City, Maryland and active in the NPI registry since February 2019. The organization holds a CLIA Waiver certificate valid through October 2, 2027 and lists Ngozi Ruth Agwuna, President, as its authorized official.

NPPES Registry Identity

NPI1801352448
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameRUTH N. AGWUNA M.D.P.C
Location Address5084 DORSEY HALL DR STE 104Ellicott City, MD 21042-7892
Mailing Address5084 Dorsey Hall Dr Ste 104Ellicott City, MD 21042-7892 · (410) 772-9463 · Fax (410) 992-3509
Fax(410) 992-3509
Organization SubpartNo
Authorized OfficialNgozi Ruth AgwunaPresident · (410) 772-9463
Enumeration DateFebruary 19, 2019
NPI 1801352448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
5084 DORSEY HALL DR STE 104, Ellicott City, MD 21042

Other Identifiers 1

Medicaid2805110MD

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D0959184

Ruth N Agwuna MD PC · Ellicott City, MD
Active · expires Oct 2, 2027
CLIA Number21D0959184
Laboratory TypePhysician Office
Certificate Effective DateOctober 3, 2025
Certificate Expiration DateOctober 2, 2027
Laboratory DirectorRuth N. Agwuna MD
Laboratory Phone(410) 772-9463
Laboratory LocationRuth N Agwuna MD PC5084 Dorsey Hall Drive Suite 104, Ellicott City, MD 21042
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Psychiatric/Mental Health)
5084 DORSEY HALL DR STE 104
ELLICOTT CITY, MD 21042

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 Ruth N. Agwuna M.D.P.C's NPI number?

The NPI number for Ruth N. Agwuna M.D.P.C is 1801352448. It was assigned to this organization in the NPPES registry on February 19, 2019.

Where is Ruth N. Agwuna M.D.P.C located?

Ruth N. Agwuna M.D.P.C is located at 5084 Dorsey Hall Dr Ste 104, Ellicott City, MD 21042. The listed phone number is (410) 772-9463.

What is Ruth N. Agwuna M.D.P.C's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Ruth N. Agwuna M.D.P.C hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D0959184) is associated with this NPI, valid through October 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ruth N. Agwuna M.D.P.C was last updated on February 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.