Active NPI
Ronard Tata Ndan, 171M00000X
- Case Manager/Care Coordinator
- Clinton, MD
National Provider Identifier
1306761630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 9135 Piscataway Rd Ste 410
Clinton, MD 20735-2555 - Phone
- (612) 404-7825
- NPI assigned
- Aug 13, 2026
- Last updated
- Sep 15, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | MD | Primary |
Addresses
Primary practice location
9135 Piscataway Rd Ste 410
Clinton, MD 20735-2555
Mailing address
3021 Roland Kenner Loop Apt G
Lanham, MD 20706-2974
Phone (612) 404-7825
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1786579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789430400000",
"number": "1306761630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3021 ROLAND KENNER LOOP APT G",
"city": "LANHAM",
"state": "MD",
"postal_code": "207062974",
"telephone_number": "612-404-7825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9135 PISCATAWAY RD STE 410",
"city": "CLINTON",
"state": "MD",
"postal_code": "207352555",
"telephone_number": "612-404-7825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NDAN",
"first_name": "RONARD",
"middle_name": "TATA",
"credential": "171M00000X",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-08-13",
"last_updated": "2026-09-15",
"certification_date": "2026-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "MD",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clinton, MD
- Melody F Nangle, NP-C
- Narmada Inc (Pulse Pharmacy)
- National Health Rehabilitation LLC
- National Rehabilitation Hospital, Inc. (MedStar Health Physical Therapy at Clinton)
- National Vision Inc (America's Best Contacts & Eyeglasses)
- Nelson Benjers, M.D.,P.C.
- Kiomi Nelson
- Margarate Melima Nesoa I, CRNP
- Ebenezer Nettey, MD
- New Direction Healthcare LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.