Individual provider Active NPI

Tiffani N Muhammad, FNP-BC, RN

  • Family Nurse Practitioner
  • Hyattsville, MD
National Provider Identifier
1104123108
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R187393 Issued in MD
Practice address
5557 Baltimore Ave Ste 500-927
Hyattsville, MD 20781-1922
Phone
(240) 419-4509
NPI assigned
Feb 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R187393 MD Primary

Addresses

Primary practice location

5557 Baltimore Ave Ste 500-927
Hyattsville, MD 20781-1922

Mailing address

5557 Baltimore Ave Ste 500-927
Hyattsville, MD 20781-1922
Phone (240) 419-4509

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130905000478 MD Practitioner - Nurse Practitioner 5294978540 Reassigns benefits to 1 organization
I20130905000707 DC Practitioner - Nurse Practitioner 5294978540 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

1145 19TH St NW
311 MMG at 19TH Street NW
Washington, DC 20036-3735
Phone (202) 429-2401

1406 Crain S Hwy 106
Glen Burnie, MD 21061-4086
Phone (410) 768-6440

1805 Columbia Rd NW
MMG Adams Morgan
Washington, DC 20009-2001
Phone (202) 797-4950

23507 Hollywood Rd
Leonardtown, MD 20650-5833
Phone (240) 434-4070

23511 Hollywood Rd
Suite 2
Leonardtown, MD 20650-5833
Phone (301) 997-0611

29955 Three Notch Rd
100 MMG at Charlotte Hall
Charlotte Hall, MD 20622-3159
Phone (301) 290-5300

4660 Wilkens Ave
Suite 100
Baltimore, MD 21229-4899
Phone (410) 247-0782

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
69.47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
R187393MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince Jul 1, 2022 Accepting new patients
Mazique Pediatrics, P.C. Past Accepting new patients

Locations

1805 Columbia Rd NW
Washington, DC 20009
Phone (202) 797-4950

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

4660 Wilkens Ave
Ste 100
Baltimore, MD 21229
Phone (410) 247-0782

29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300

10403 Hospital Dr
Ste 103
Clinton, MD 20735
Phone (301) 856-8990

1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440

23511 Hollywood Rd
Ste 2
Leonardtown, MD 20650
Phone (301) 997-0611

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1298851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1104123108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5557 BALTIMORE AVE STE 500-927",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207811922",
            "telephone_number": "240-419-4509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5557 BALTIMORE AVE STE 500-927",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207811922",
            "telephone_number": "240-419-4509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUHAMMAD",
        "first_name": "TIFFANI",
        "middle_name": "N",
        "credential": "FNP-BC, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-28",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R187393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

Verify at the official NPI Registry.