Individual provider

Phillip Omohundro, M.D.

Sports Medicine (Orthopaedic Surgery) Physician Orthopaedic Surgery Physician Medicare enrolled

Phillip Omohundro, M.D. is an Orthopaedic Surgery Physician in Glenn Dale, MD, registered under NPI 1871553594. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 12200 ANNAPOLIS RD STE 123, Glenn Dale, MD 20769. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

12200 ANNAPOLIS RD STE 123, Glenn Dale, MD 20769 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
MD13399 DC Sports Medicine (Orthopaedic Surgery)…
D25458 MD Orthopaedic Surgery Physician primary
D0025458 MD Sports Medicine (Orthopaedic Surgery)…
MD13399 DC Orthopaedic Surgery Physician

Licences are recorded in 2 states: DC, MD. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Orthopedic Surgery
PAC ID
6901877182
Enrollment ID
I20040802001458

Medicare enrolment is recorded as approved under the provider type Practitioner - Orthopedic Surgery. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: District of Columbia and Maryland. The practice address on file is in Glenn Dale, MD, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

DC District of Columbia
Licence
MD13399
Specialty
Sports Medicine (Orthopaedic Surgery)…
Verify with the DC board →
MD Maryland practice address
Licence
D25458
Specialty
Orthopaedic Surgery Physician
Verify with the MD board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Orthopaedic Surgery covers

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. NUCC Health Care Provider Taxonomy, code 207X00000X
Allopathic & Osteopathic Physicians Orthopaedic Surgery

All registered taxonomy codes

This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207XX0005X Sports Medicine (Orthopaedic Surgery) Physician Sports Medicine MD13399 DC
207X00000X Orthopaedic Surgery Physician D25458 MD primary
207XX0005X Sports Medicine (Orthopaedic Surgery) Physician Sports Medicine D0025458 MD
207X00000X Orthopaedic Surgery Physician MD13399 DC

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1871553594 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMar 25, 2006
Last updatedJan 8, 2024
StatusActive
Sole proprietorNo
GenderMale
CredentialM.D.
Practice address 12200 ANNAPOLIS RD STE 123
Glenn Dale, MD 20769
(301) 364-9292
Fax (855) 291-3304
Other identifiers 0150330001 · Medicaid (MD)
This record was updated on Jan 8, 2024, which is recent enough that the contact details are likely still accurate.

Number check

1871553594 passes the NPI check digit test The final digit 4 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 8 7 1 5 5 3 5 9
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 8 5 1 1 5 6 5 9

Sum = 66 · next multiple of 10 = 70 · check digit = 4 · actual last digit = 4

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1871553594?
NPI 1871553594 is the National Provider Identifier assigned to Phillip Omohundro, M.D. in Glenn Dale, MD. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Orthopaedic Surgery Physician cover?
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital…
How do I contact Phillip Omohundro, M.D.?
The phone number on file with NPPES is (301) 364-9292, last updated Jan 8, 2024. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Phillip Omohundro, M.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1871553594 a valid number?
Yes. 1871553594 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.