Individual provider Active NPI

Sunday Michael Ayodeji

  • Psychiatric/Mental Health Nurse Practitioner
  • Owings Mills, MD
National Provider Identifier
1174167605
Registry record updated Dec 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R202768 Issued in MD
Practice address
103 Egypt Farms Rd
Owings Mills, MD 21117-5043
Phone
(443) 525-9301
NPI assigned
Oct 28, 2019
Last updated
Dec 31, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R202768 MD Primary

Addresses

Primary practice location

103 Egypt Farms Rd
Owings Mills, MD 21117-5043

Mailing address

103 Egypt Farms Rd
Owings Mills, MD 21117-5043
Phone (443) 525-9301

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200506000387 MD Practitioner - Nurse Practitioner 2466883517 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
People Encouraging People IncGroup PAC ID 3476518481, 5 clinicians

Practice addresses (Care Compare)

201 Ballard Ave
Suite B
Middle River, MD 21220-3656
Phone (443) 873-9785

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
People Encouraging People, Inc. CurrentSince Mar 1, 2020 Accepting new patients
People Encouraging People, Inc. CurrentSince Mar 1, 2020 Accepting new patients
People Encouraging People, Inc. CurrentSince Jan 29, 2023 Accepting new patients

Locations

22 S Howard St
#1
Baltimore, MD 21201

2918 Glenmore Ave
Baltimore, MD 21214
Phone (443) 873-9785

4201 Primrose Ave
Baltimore, MD 21215
Phone (410) 764-8560

201 Ballard Ave
Ste B
Middle River, MD 21220
Phone (443) 873-9785

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577750400000",
    "number": "1174167605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 EGYPT FARMS RD",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175043",
            "telephone_number": "443-525-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 EGYPT FARMS RD",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175043",
            "telephone_number": "443-525-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYODEJI",
        "first_name": "SUNDAY",
        "middle_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-28",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R202768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

Verify at the official NPI Registry.