Individual provider Active NPI

Ndifreke Ntiense Enyeama, FNP

  • Family Medicine Physician
  • Hunt Valley, MD
National Provider Identifier
1295388783
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R210853 Issued in MD
Practice address
9 Schilling Rd Ste LL4
Hunt Valley, MD 21031-8616
Phone
(443) 845-3037
Fax
(503) 506-0663
NPI assigned
Jul 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X R210853 MD
Family Medicine Physician 207Q00000X R210853 MD Primary

Addresses

Primary practice location

9 Schilling Rd Ste LL4
Hunt Valley, MD 21031-8616

Mailing address

9 Schilling Rd Ste LL4
Hunt Valley, MD 21031-8616
Phone (443) 845-3037

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20200630000437 MD Practitioner - Nurse Practitioner 9032531595 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9 Schilling Rd
Suite LL4
Hunt Valley, MD 21031-8616
Phone (443) 845-3037

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R210853MDMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chase Brexton Health Services, Inc. CurrentSince Jul 6, 2020 Accepting new patients
Tsiyyon Zion Primary Care and Wellness Center LLC Primary Care CurrentSince Mar 28, 2025 Accepting new patients
Chase Brexton Health Services, Inc. CurrentSince Jul 6, 2020 Accepting new patients

Locations

1111 N Charles St
Baltimore, MD 21201
Phone (410) 486-5991

9 Schilling Rd
Ste LL4
Hunt Valley, MD 21031
Phone (410) 934-7125

Organizations & group practices 3

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": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1295388783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 SCHILLING RD STE LL4",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210318616",
            "telephone_number": "443-845-3037",
            "fax_number": "503-506-0663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 SCHILLING RD STE LL4",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210318616",
            "telephone_number": "443-845-3037",
            "fax_number": "503-506-0663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENYEAMA",
        "first_name": "NDIFREKE",
        "middle_name": "NTIENSE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-23",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MD",
            "license": "R210853",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "R210853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hunt Valley, MD

Sources for this page

Verify at the official NPI Registry.