Individual provider Active NPI

Ikenna Bryant Iloka, MD

  • Psychiatry Physician
  • Bethesda, MD
National Provider Identifier
1063933356
Registry record updated Jan 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD49045 Issued in DC
Practice address
4520 E West Hwy Ste 775
Bethesda, MD 20814-0066
Phone
(667) 222-0295
NPI assigned
Jun 28, 2017
Last updated
Jan 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD49045 DC Primary

Addresses

Primary practice location

4520 E West Hwy Ste 775
Bethesda, MD 20814-0066

Mailing address

4520 E West Hwy Ste 775
Bethesda, MD 20814-0066

Other names 1

  • Ike Iloka Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, VA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20221102002745 DC Practitioner - Psychiatry 4587058250 Reassigns benefits to 1 organization
I20221102002986 MD Practitioner - Psychiatry 4587058250 Reassigns benefits to 1 organization
I20260108002130 VA Practitioner - Psychiatry 4587058250 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psych Associates of Maryland LLCGroup PAC ID 3971550963, 151 clinicians

Practice addresses (Care Compare)

120 Sister Pierre Dr
Suite 403
Towson, MD 21204-7536
Phone (410) 823-6408

4520 E W Hwy
Suite 775
Bethesda, MD 20814-0066
Phone (410) 823-6408

801 N Quincy St
Suite 601
Arlington, VA 22203-1729
Phone (410) 823-6408

9715 Medical Ctr Dr
Suite 528
Rockville, MD 20850-3352
Phone (410) 823-6408

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD49045DCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neta, Inc. CurrentSince Apr 23, 2023 Accepting new patients
Psych Associates of Maryland LLC Psychiatry CurrentSince Nov 1, 2022 Accepting new patients

Locations

4520 East West Hwy
Ste 775
Bethesda, MD 20814
Phone (205) 593-7605

9715 Medical Center Dr
Ste 528
Rockville, MD 20850
Phone (301) 340-1355

2331 York Rd
Ste 100
Timonium, MD 21093

120 Sister Pierre Dr
Ste 403
Towson, MD 21204
Phone 4108236408104

7700 E Parham Rd
Richmond, VA 23294
Phone (804) 289-4852

Interoperability endpoints

  • Direct secure messaging: bloomhealthcenters.ikennailoka@131200.advancedmd-direct.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736640000000",
    "number": "1063933356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 E WEST HWY STE 775",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208140066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 E WEST HWY STE 775",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208140066",
            "telephone_number": "667-222-0295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILOKA",
        "first_name": "IKENNA",
        "middle_name": "BRYANT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-28",
        "last_updated": "2025-01-12",
        "certification_date": "2025-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DC",
            "license": "MD49045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IKE",
            "last_name": "ILOKA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.