Active NPI
ABA Nduom MD PLLC
- Psychiatry Physician
- Redmond, WA
National Provider Identifier
1174479133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- ABA NDUOM MD PLLC
- Practice address
- 16771 NE 80TH St Ste 108
Redmond, WA 98052-3959 - Phone
- (425) 414-8799
- NPI assigned
- Mar 10, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nana ABA Nduom, MD
- Title
- Physician
- Phone
- (425) 414-8799
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary | ||
| Child & Adolescent Psychiatry Physician | 2084P0804X |
Addresses
Primary practice location
16771 NE 80TH St Ste 108
Redmond, WA 98052-3959
Mailing address
16771 NE 80TH St Ste 108
Redmond, WA 98052-3959
Phone (425) 414-8799
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
16771 NE 80th St
Ste 108
Redmond, WA 98052
Phone (425) 414-8799
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Redmond, WA
- NPI 1386088029
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773100800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773100800000",
"number": "1174479133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16771 NE 80TH ST STE 108",
"city": "REDMOND",
"state": "WA",
"postal_code": "980523959",
"telephone_number": "425-414-8799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16771 NE 80TH ST STE 108",
"city": "REDMOND",
"state": "WA",
"postal_code": "980523959",
"telephone_number": "425-414-8799"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABA NDUOM MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-10",
"last_updated": "2026-03-10",
"certification_date": "2026-03-10",
"status": "A",
"authorized_official_last_name": "NDUOM",
"authorized_official_first_name": "NANA",
"authorized_official_middle_name": "ABA",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "425-414-8799",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redmond, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; 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.