Individual provider Active NPI

John Kamau Ngugi, CRNP-BC

  • Adult Health Nurse Practitioner
  • Pikesville, MD
National Provider Identifier
1245638048
Registry record updated Feb 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
R179125 Issued in MD
Practice address
1314 Bedford Ave Ste 113
Pikesville, MD 21208-3737
Phone
(480) 877-8780
Fax
(443) 732-0054
NPI assigned
Dec 10, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R179125 MD Primary

Addresses

Primary practice location

1314 Bedford Ave Ste 113
Pikesville, MD 21208-3737

Mailing address

PO Box 72098
Rosedale, MD 21237-8098
Phone (480) 878-7806

Other identifiers 1

IdentifierTypeStateIssuer
964007000MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150609001259 MD Practitioner - Nurse Practitioner 7618298167 Reassigns benefits to 3 organizations
I20200115001206 DC Practitioner - Nurse Practitioner 7618298167 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Health LLCGroup PAC ID 1850829714, 9 clinicians
Optimize Medical GroupGroup PAC ID 0446512040, 31 clinicians

Practice addresses (Care Compare)

1 Kaylor Cir
Frostburg, MD 21532-2009
Phone (301) 689-7500

3210 Powder Mill Rd
Hyattsville, MD 20783-1029
Phone (301) 937-3939

8280 Willow Oaks Corporate Dr
Suite 600
Fairfax, VA 22031-4516
Phone (443) 868-7101

Merit-based Incentive Payment System (MIPS)

Final score
20.5 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
68.35

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Access Health LLC CurrentSince Dec 1, 2024 Accepting new patients
Access Health LLC CurrentSince Dec 1, 2024 Accepting new patients
Access Health LLC Current Accepting new patients
Access Health LLC CurrentSince Jan 1, 2025 Accepting new patients
Optimize Medical Group Adult Health CurrentSince Feb 7, 2018 Accepting new patients
Post Acute Health Care Services LLC CurrentSince Nov 28, 2024 Accepting new patients
MBK Laboratory CurrentSince May 1, 2020 Accepting new patients
Viewpoint Wellness LLC PastSince Dec 13, 2020 Accepting new patients

Locations

10 N Rock Glen Rd
Baltimore, MD 21229
Phone (410) 646-2100

5721 Grosvenor Ln
Bethesda, MD 20814
Phone (301) 530-1600

141 S Main St
Boonsboro, MD 21713
Phone (301) 432-5457

1 Kaylor Cir
Frostburg, MD 21532
Phone (301) 689-7446

3210 Powder Mill Rd
Hyattsville, MD 20783
Phone (301) 937-3939

1051 Brightseat Rd
Landover, MD 20785
Phone (240) 487-4400

9722 Groffs Mill Dr
Owings Mills, MD 21117
Phone (410) 205-9255

1314 Bedford Ave
Ste 113
Pikesville, MD 21208
Phone (443) 868-7956

1232 Race Rd
Ste 403
Rosedale, MD 21237
Phone (480) 878-7806

5801 Allentown Rd
Ste 502
Suitland, MD 20746
Phone (240) 244-5151

1205 York Rd
Ste 11
Timonium, MD 21093
Phone (443) 325-0031

112 Franklin Corner Rd
Trenton, NJ 08648
Phone (609) 895-0158

8280 Willow Oaks Corporate Dr
Ste 600
Fairfax, VA 22031
Phone (202) 794-7159

Organizations & group practices 8

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": "1418169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549584000000",
    "number": "1245638048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 72098",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212378098",
            "telephone_number": "480-878-7806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 BEDFORD AVE STE 113",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212083737",
            "telephone_number": "480-877-8780",
            "fax_number": "443-732-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUGI",
        "first_name": "JOHN",
        "middle_name": "KAMAU",
        "credential": "CRNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-10",
        "last_updated": "2019-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R179125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "964007000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikesville, MD

Sources for this page

Verify at the official NPI Registry.