Individual provider Active NPI

Lukman Ishola Baruwa

  • Home Health Aide
  • Upper Marlboro, MD
National Provider Identifier
1083403422
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
1110 Cape Teal CT
Upper Marlboro, MD 20774-7082
Phone
(347) 235-7623
NPI assigned
May 2, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X Primary

Addresses

Primary practice location

1110 Cape Teal CT
Upper Marlboro, MD 20774-7082

Mailing address

1110 Cape Teal CT
Upper Marlboro, MD 20774-7082
Phone (347) 235-7623

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1746144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1083403422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 CAPE TEAL CT",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207747082",
            "telephone_number": "347-235-7623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 CAPE TEAL CT",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207747082",
            "telephone_number": "347-235-7623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARUWA",
        "first_name": "LUKMAN",
        "middle_name": "ISHOLA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-02",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.