Individual provider Active NPI

Frederick Temenu

  • Psychiatric/Mental Health Nurse Practitioner
  • Upper Marlboro, MD
National Provider Identifier
1396136040
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R191093 Issued in MD
Practice address
4727 Colonel Ashton PL
Upper Marlboro, MD 20772-2873
Phone
(240) 467-1160
NPI assigned
Feb 16, 2015
Last updated
Jun 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 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 R191093 MD Primary
Registered Nurse 163W00000X RN1019892 DC

Addresses

Primary practice location

4727 Colonel Ashton PL
Upper Marlboro, MD 20772-2873

Mailing address

4727 Colonel Ashton PL
Upper Marlboro, MD 20772-2873
Phone (240) 467-1160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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
I20231007000149 MD Practitioner - Nurse Practitioner 3971958158 Reassigns benefits to 1 organization
I20231206003345 DC Practitioner - Nurse Practitioner 3971958158 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN1019892DCMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
M.S. Shariff, M.D., P.a. CurrentSince Sep 15, 2023 Accepting new patients
M.S. Shariff, M.D., P.a. Psychiatric/Mental Health CurrentSince Sep 15, 2023 Accepting new patients
Absolute Behavioral Health Clinic Psychiatric/Mental Health Current Accepting new patients
Rahel G. Yirga MD PC CurrentSince Oct 16, 2023 Accepting new patients

Locations

105 Aurora St
Cambridge, MD 21613
Phone (410) 228-9515

4922 Lasalle Rd
Hyattsville, MD 20782
Phone (301) 445-3501

6035 Burke Centre Pkwy
Ste 390
Burke, VA 22015
Phone (703) 978-0756

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, 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": "1424044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1396136040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4727 COLONEL ASHTON PL",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207722873",
            "telephone_number": "240-467-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4727 COLONEL ASHTON PL",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207722873",
            "telephone_number": "240-467-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEMENU",
        "first_name": "FREDERICK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-16",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R191093",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DC",
            "license": "RN1019892",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

Verify at the official NPI Registry.