Active NPI
Ikenna Bryant Iloka, MD
- Psychiatry Physician
- Bethesda, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD49045
- 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, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| MD49045 | DC | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neta, Inc. | Current | Accepting new patients | |
| Psych Associates of Maryland LLC | Psychiatry | Current | 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
- 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.
-
dba Bloom Health Centers
- Psychologist
- Timonium, MD
- NPI 1891721981
DC, Psychiatry, VA
-
- Child & Adolescent Psychiatry Physician
- Arlington, VA
- NPI 1134506520
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.