Peter Olusola Ige

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R142898 Issued in MD

Practice address

5411 Old Frederick Rd
Baltimore, MD 21229-2195

Phone

(410) 762-8945

NPI assigned

Dec 12, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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 1

Specialty

Nurse Practitioner

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Paraview Behavioral HealthGroup PAC ID 4284160383, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Paraview Behavioral Health

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Frederick, MD
  • NPI 1730915711
  Medicare reassignment Care Compare group NPD
• Harmony Counceling Center Inc

  • Mental Health Counselor
  • Nottingham, MD
  • NPI 1861981276
  Medicare reassignment NPD
• Mosaic Community Services, Inc.

  • Adult Mental Health Clinic/Center
  • Timonium, MD
  • NPI 1265539142
  Medicare reassignment NPD
• Mosaic Community Services, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
  • NPI 1124470067
  NPD
• Mosaic Community Services, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Gaithersburg, MD
  • NPI 1710466313
  NPD
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1576108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1164060943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 ROZINA CT",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211171318",
            "telephone_number": "410-446-1294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5411 OLD FREDERICK RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212292195",
            "telephone_number": "410-762-8945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGE",
        "first_name": "PETER",
        "middle_name": "OLUSOLA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-12",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R142898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth Malka Ifrah, APRN, FNP-C
• Mustafa Iftikhar, MD
• Michelle M. a. Igbani, M.D.
• Adaobi E Igboanugo
• Somtochi Igbudu
• Tolulope Ige, PMHNP-BC
• Ilani Ighedosa, LCSW-C
• Jennifer Ighodaro
• Vanessa Ighodaro
• Iredell Waddell Iglehart III, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; 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.

Verify at the official NPI Registry.