Individual provider Active NPI

Idi Usman

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbia, MD
National Provider Identifier
1366317646
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R238126 Issued in MD
Practice address
9277 Cartersville Rd
Columbia, MD 21046-1603
Phone
(262) 744-0357
NPI assigned
Oct 7, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R238126 MD Primary
Psychiatry Physician 2084P0800X R238126 MD

Addresses

Primary practice location

9277 Cartersville Rd
Columbia, MD 21046-1603

Mailing address

9277 Cartersville Rd
Columbia, MD 21046-1603
Phone (443) 563-7091

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12225 28TH St N
Suite a
St Petersburg, FL 33716-1860

9277 Cartersville Rd
Columbia, MD 21046-1603

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R238126MDMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tide Behavioral Health LLC CurrentSince Jun 16, 2026 Accepting new patients

Organizations & group practices 1

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": "1759795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1366317646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9277 CARTERSVILLE RD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461603",
            "telephone_number": "443-563-7091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9277 CARTERSVILLE RD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461603",
            "telephone_number": "262-744-0357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "USMAN",
        "first_name": "IDI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-10-07",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R238126",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "R238126",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.