Meheza Adja-Poroky
Individual provider Active NPI Family Nurse Practitioner · Bowie, MD
NPI 1154868461 · NPPES record last updated Nov 8, 2024
Key facts
- NPI
- 1154868461
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 184641 (MD)
- Practice address
- 4201 Northview Dr
Suite 410
Bowie, MD 20716-2604 - Phone
- (202) 681-9661
- NPI assigned
- Jan 24, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 13
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Synergy Spine and Pain Center LLC
Practice addresses (Care Compare)
12150 Annapolis Rd
Suite 209
Glenn Dale, MD 20769-9183
Phone (413) 798-0399
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in DC, MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190610000068 | DC | Practitioner - Nurse Practitioner | 1850624776 | Reassigns benefits to 7 organizations |
| I20230914001137 | MD | Practitioner - Nurse Practitioner | 1850624776 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 184641 | MD | MD | Family Nurse Practitioner |
Practice roles
Locations
3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203
3007 Tilden St NW
Ste 5N
Washington, DC 20008
201 E University Pkwy
Baltimore, MD 21218
Phone (410) 554-2651
5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714
7503 Surratts Rd
Clinton, MD 20735
Phone (301) 868-8000
7070 Samuel Morse Dr
Columbia, MD 21046
Phone (410) 309-4600
7190 Crestwood Blvd
Frederick, MD 21703
Phone (240) 529-1700
12150 Annapolis Rd
Ste 209
Glenn Dale, MD 20769
Phone (240) 929-6652
1701 Twin Springs Rd
Halethorpe, MD 21227
Phone (410) 737-5000
4000 Garden City Dr
Fl 4
Hyattsville, MD 20785
Phone (227) 229-8532
10810 Connecticut Ave
Kensington, MD 20895
Phone (301) 929-7100
1221 Mercantile Ln
Fl 3
Largo, MD 20774
Phone (301) 618-5500
25500 Point Lookout Rd
Leonardtown, MD 20650
Phone (301) 475-6106
655 Watkins Mill Rd
Montgomery Village, MD 20879
Phone (301) 929-7100
2101 E Jefferson St
#4E
Rockville, MD 20852
2101 E Jefferson St
Ste 4EPFS
Rockville, MD 20852
9000 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 682-7000
2391 Greenspring Dr
Timonium, MD 21093
Phone (410) 847-3000
6701 N Charles St
Towson, MD 21204
Phone (443) 849-2000
1221 Mercantile Ln
Upper Marlboro, MD 20774
Phone (301) 618-5500
8008 Westpark Dr
Tysons Corner, VA 22102
Phone (703) 287-6400
Interoperability endpoints
- meheza.adjaporoky@3250.securemail.prognocis.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 184641 | MD | Yes |
Addresses
Primary practice location
4201 Northview Dr
Suite 410
Bowie, MD 20716-2604
Mailing address
4201 Northview Dr
Suite 410
Bowie, MD 20716-2604
Phone (202) 681-9661
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) |
Other providers in Bowie, MD
- Faramade Emmanuella Adeyemi
- Idowu M Adeyemi
- Toyin B Adeyemi
- Adfinitas Health at Encompass Rehab LLC
- Adio, Inc
- Adore Healths Ervices Inc.
- Adra General Services
- Jane Catherine Adsit
- Rahel Adugna
- Advance Health Care Services
All providers in Bowie, MD · Family Nurse Practitioner in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.