Active NPI
John Kamau Ngugi, CRNP-BC
- Adult Health Nurse Practitioner
- Pikesville, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- R179125
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 964007000 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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 100
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Health LLC | Current | Accepting new patients | |
| Access Health LLC | Current | Accepting new patients | |
| Access Health LLC | Current | Accepting new patients | |
| Access Health LLC | Current | Accepting new patients | |
| Optimize Medical Group | Adult Health | Current | Accepting new patients |
| Post Acute Health Care Services LLC | Current | Accepting new patients | |
| MBK Laboratory | Current | Accepting new patients | |
| Viewpoint Wellness LLC | Past | 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.
-
- Pain Medicine Physician
- Boonsboro, MD
- NPI 1619763059
-
- General Practice Physician
- Lutherville, MD
- NPI 1689483372
-
- Clinical Medical Laboratory
- Rosedale, MD
- NPI 1609412402
-
- Pain Medicine Physician
- Camp Springs, MD
- NPI 1477430460
-
- Psychiatric/Mental Health Nurse Practitioner
- Rosedale, MD
- NPI 1801492731
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.