Individual provider Active NPI

Dorlin Bukirwa

  • Psychiatric/Mental Health Nurse Practitioner
  • Silver Spring, MD
National Provider Identifier
1174417679
Registry record updated Jun 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R230578 Issued in MD
Practice address
3510 Aston Manor CT Apt 304
Silver Spring, MD 20904-7225
Phone
(781) 535-2522
NPI assigned
Jun 7, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2025

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 R230578 MD Primary

Addresses

Primary practice location

3510 Aston Manor CT Apt 304
Silver Spring, MD 20904-7225

Mailing address

3510 Aston Manor CT Apt 304
Silver Spring, MD 20904-7225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20260220002541 DC Practitioner - Nurse Practitioner 5799266425 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovative Psychiatric Associates LLCGroup PAC ID 4284060302, 2 clinicians

Practice addresses (Care Compare)

801 Wayne Ave
Suite G100
Silver Spring, MD 20910-4493
Phone (202) 322-9350

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R230578MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Psychiatric Associates LLC Psychiatric/Mental Health CurrentSince Jan 22, 2026 Accepting new patients

Locations

801 Wayne Ave
Ste G100
Silver Spring, MD 20910
Phone (202) 322-9350

Organizations & group practices 1

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": "1749254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749254400000",
    "number": "1174417679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 ASTON MANOR CT APT 304",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209047225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 ASTON MANOR CT APT 304",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209047225",
            "telephone_number": "781-535-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUKIRWA",
        "first_name": "DORLIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-07",
        "last_updated": "2025-06-07",
        "certification_date": "2025-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R230578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.