Individual provider Active NPI

Miracle Dikeh, FNP-C

  • Family Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1306425541
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R233807 Issued in MD
Practice address
2300 Garrison Blvd
Baltimore, MD 21216-2335
Phone
(410) 362-3600
NPI assigned
Apr 5, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R233807 MD Primary

Addresses

Primary practice location

2300 Garrison Blvd
Baltimore, MD 21216-2335

Mailing address

835 Middlesex Rd
Baltimore, MD 21221-2129
Phone (443) 554-6902

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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
I20210520002485 DC Practitioner - Nurse Practitioner 6406255660 Reassigns benefits to 1 organization
I20210526000021 MD Practitioner - Nurse Practitioner 6406255660 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinical Associates P aGroup PAC ID 1254631005, 44 clinicians

Practice addresses (Care Compare)

1838 Greene Tree Rd
Suite 135
Pikesville, MD 21208-7108
Phone (443) 471-0460

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Associates P a CurrentSince Nov 1, 2025 Accepting new patients
Clinical Associates PA CurrentSince Nov 1, 2025 Accepting new patients
Minuteclinic LLC Family CurrentSince May 3, 2021 Accepting new patients
Scholar Medical Group MD LLC CurrentSince Jan 1, 2022 Accepting new patients

Locations

1140 3rd St NE
Washington, DC 20002
Phone (202) 935-1033

2601 Riva Rd
Annapolis, MD 21401
Phone (410) 571-2090

145 W Ostend St
Ste 600
Baltimore, MD 21230
Phone (240) 542-8509

10095 Ward Rd
Dunkirk, MD 20754
Phone (410) 257-0191

1838 Greene Tree Rd
Ste 135
Pikesville, MD 21208
Phone (443) 471-0460

133 Rollins Ave
Ste 3
Rockville, MD 20852
Phone (202) 935-1033

7955 Tuckerman Ln
Rockville, MD 20854
Phone (301) 299-3717

Interoperability endpoints

  • Direct secure messaging: miracle.dikeh.p2@direct.clinicalassociates.nextgenshare.com

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": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1306425541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 MIDDLESEX RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212212129",
            "telephone_number": "443-554-6902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 GARRISON BLVD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212162335",
            "telephone_number": "410-362-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIKEH",
        "first_name": "MIRACLE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-05",
        "last_updated": "2022-06-14",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R233807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.