Active NPI
Ibukunoluwa Ayanleye
- Psychiatric/Mental Health Nurse Practitioner
- Baltimore, MD
National Provider Identifier
1265138853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- R217240
- Practice address
- 2212 E Monument St
Baltimore, MD 21205-2420 - Phone
- (443) 534-8651
- NPI assigned
- Feb 6, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R217240 | MD | Primary |
Addresses
Primary practice location
2212 E Monument St
Baltimore, MD 21205-2420
Mailing address
1942 Palonia CT
Odenton, MD 21113-2929
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: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4000 Mitchellville Rd
Suite A414
Bowie, MD 20716-3142
Phone (301) 249-8100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MD Behavioral Health LLC | Current | Accepting new patients |
Locations
4000 Mitchellville Rd
Ste A414
Bowie, MD 20716
Phone (301) 249-8100
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": "1675641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675641600000",
"number": "1265138853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1942 PALONIA CT",
"city": "ODENTON",
"state": "MD",
"postal_code": "211132929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2212 E MONUMENT ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212052420",
"telephone_number": "443-534-8651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AYANLEYE",
"first_name": "IBUKUNOLUWA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-06",
"last_updated": "2023-02-06",
"certification_date": "2023-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "R217240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.