Individual provider Active NPI

Marjorie Ray Madikoto, C-FNP

  • Family Nurse Practitioner
  • Hyattsville, MD
National Provider Identifier
1275938201
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R116887 Issued in MD
Practice address
3311 Toledo Ter Ste B103
Hyattsville, MD 20782-8146
Phone
(301) 245-3082
Fax
(301) 978-7986
NPI assigned
Nov 4, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X RN60297 DC
Family Nurse Practitioner 363LF0000X R116887 MD Primary

Addresses

Primary practice location

3311 Toledo Ter Ste B103
Hyattsville, MD 20782-8146

Mailing address

3311 Toledo Ter Ste B103
Hyattsville, MD 20782-8146
Phone (301) 245-3082

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
I20160816001075 DC Practitioner - Nurse Practitioner 8628362589 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3311 Toledo Ter
Suite B103
Hyattsville, MD 20782-8146
Phone (301) 245-3082

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN60297DCMDFamily Nurse Practitioner
R116887MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Behavioral Health, LLC Multi-Specialty CurrentSince Oct 1, 2023 Accepting new patients
Medical Home Development Group Multi-Specialty CurrentSince Oct 16, 2018 Accepting new patients
Diabetes Self Care Management Institute, LLC Multi-Specialty CurrentSince May 7, 2016 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2112 F St NW
Ste 504
Washington, DC 20037
Phone (202) 293-6458

12150 Annapolis Rd
Ste 104
Glenn Dale, MD 20769
Phone (301) 805-8292

3311 Toledo Ter
Ste B103
Hyattsville, MD 20782
Phone (202) 290-8335

4200 Forbes Blvd
Ste 110
Lanham, MD 20706
Phone (202) 607-6932

4975 Lacross Rd
Ste 151
North Charleston, SC 29406

Interoperability endpoints

  • Direct secure messaging: marjorie.madikoto.1@22467.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/22467/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1415059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1275938201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 TOLEDO TER STE B103",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207828146",
            "telephone_number": "301-245-3082",
            "fax_number": "301-260-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 TOLEDO TER STE B103",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207828146",
            "telephone_number": "301-245-3082",
            "fax_number": "301-978-7986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADIKOTO",
        "first_name": "MARJORIE",
        "middle_name": "RAY",
        "credential": "C-FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-04",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "RN60297",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R116887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

Verify at the official NPI Registry.