Organization Active NPI

Diabetes Self Care Management Institute, LLC

  • Family Nurse Practitioner
  • Hyattsville, MD
National Provider Identifier
1093176117
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
DIABETES SELF CARE MANAGEMENT INSTITUTE, LLC
Practice address
3311 Toledo Ter Ste B103
Hyattsville, MD 20782-8146
Phone
(301) 992-8243
Fax
(301) 978-7986
NPI assigned
Mar 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Authorized official

Name
Marjorie R Madikoto, C-FNP, CDENPI 1275938201
Title
President and Ceo
Phone
(301) 992-8243

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

3311 Toledo Ter Ste B103
Hyattsville, MD 20782-8146

Mailing address

3311 Toledo Ter Ste B103
Hyattsville, MD 20782-8146
Phone (301) 992-8243

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160816000909 DC Part B Supplier - Clinic/Group Practice 8921392887 Receives reassigned benefits from 1 practitioner
Practice locations: Hyattsville, MD

National Provider Directory

National Provider Directory
Tax ID family
Diabetes Self Care Management Insti2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

12150 Annapolis Rd
Ste 10
Glenn Dale, MD 20769

3311 Toledo Ter
#103
Hyattsville, MD 20782

3311 Toledo Ter
Ste B103
Hyattsville, MD 20782
Phone (202) 290-8335

9800 Falls Rd
Ste 1
Potomac, MD 20854
Phone (301) 983-1460

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22467/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1458172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753920000000",
    "number": "1093176117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 TOLEDO TER STE B103",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207828146",
            "telephone_number": "301-992-8243",
            "fax_number": "301-978-7986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 TOLEDO TER STE B103",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207828146",
            "telephone_number": "301-992-8243",
            "fax_number": "301-978-7986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES SELF CARE MANAGEMENT INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-17",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A",
        "authorized_official_last_name": "MADIKOTO",
        "authorized_official_first_name": "MARJORIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT  AND CEO",
        "authorized_official_telephone_number": "301-992-8243",
        "authorized_official_credential": "C-FNP,  CDE"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.