NPIMap

Organization Active NPI

Redeem Healthcare and Medical System Inc

  • Primary Care Clinic/Center
  • Baltimore, MD
National Provider Identifier
1164926085
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
REDEEM HEALTHCARE AND MEDICAL SYSTEM INC
Practice address
917 N Caroline St
Baltimore, MD 21205-1000
Phone
(410) 522-1030
Fax
(410) 878-0614
NPI assigned
Mar 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Authorized official

Name
Mr. Ose Kingsley Okojie
Title
Owner
Phone
(410) 629-2435

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

917 N Caroline St
Baltimore, MD 21205-1000

Mailing address

917 N Caroline St
Baltimore, MD 21205-1000
Phone (410) 522-1030

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180523001542 MD Part B Supplier - Clinic/Group Practice 1355606310 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Baltimore, MD

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1521763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658275200000",
    "number": "1164926085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 N CAROLINE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212051000",
            "telephone_number": "410-522-1030",
            "fax_number": "410-878-0614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 N CAROLINE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212051000",
            "telephone_number": "410-522-1030",
            "fax_number": "410-878-0614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDEEM HEALTHCARE AND MEDICAL SYSTEM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-23",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A",
        "authorized_official_last_name": "OKOJIE",
        "authorized_official_first_name": "OSE",
        "authorized_official_middle_name": "KINGSLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-629-2435",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; 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.