Individual provider Active NPI

Ndidiamaka Ezinne Mbakpuo, FNP

  • Family Nurse Practitioner
  • Lanham, MD
National Provider Identifier
1336638089
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R184944 Issued in MD
Practice address
9470 Annapolis Rd Ste 416
Lanham, MD 20706-3000
Phone
(202) 735-1010
NPI assigned
May 8, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 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 Practitioner 363LF0000X R184944 MD Primary
Family Nurse Practitioner 363LF0000X RN1015877 DC

Addresses

Primary practice location

9470 Annapolis Rd Ste 416
Lanham, MD 20706-3000

Mailing address

9470 Annapolis Rd Ste 416
Lanham, MD 20706-3000
Phone (202) 735-1010

Other names 1

  • Dr. Ndidiamaka Ezinne Mbakpuo Professional name

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
I20201223001348 DC Practitioner - Nurse Practitioner 4981016516

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chivic Healthcare Services LLCGroup PAC ID 6800208430, 2 clinicians

Practice addresses (Care Compare)

9470 Annapolis Rd
Lanham, MD 20706-3000
Phone (202) 735-1010

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN1015877DCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chivic Healthcare Services LLC CurrentSince Dec 2, 2020 Accepting new patients
Chivic Healthcare Services LLC Family PastSince Feb 1, 2023 Accepting new patients

Locations

7525 Greenway Center Dr
Ste 316
Greenbelt, MD 20770
Phone (202) 735-1010

9470 Annapolis Rd
Ste 416
Lanham, MD 20706
Phone (240) 770-3505

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22816/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1336638089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9470 ANNAPOLIS RD STE 416",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063000",
            "telephone_number": "202-735-1010",
            "fax_number": "202-567-6361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9470 ANNAPOLIS RD STE 416",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063000",
            "telephone_number": "202-735-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBAKPUO",
        "first_name": "NDIDIAMAKA",
        "middle_name": "EZINNE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-08",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R184944",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "RN1015877",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NDIDIAMAKA",
            "last_name": "MBAKPUO",
            "middle_name": "EZINNE",
            "prefix": "DR.",
            "credential": "DNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lanham, MD

Sources for this page

Verify at the official NPI Registry.