Individual provider Active NPI

Julius Atemafac, ED.D, FNP-BC

  • Family Medicine Physician
  • Laurel, MD
National Provider Identifier
1407499452
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R176168 Issued in MD
Practice address
13944 Baltimore Ave Ste 102
Laurel, MD 20707-5000
Phone
(240) 491-2868
Fax
(866) 207-0983
NPI assigned
Oct 22, 2019
Last updated
Feb 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X R176168 MD Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

13944 Baltimore Ave Ste 102
Laurel, MD 20707-5000

Mailing address

713 Rexford Way
Upper Marlboro, MD 20774-8441

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
I20230126000122 DC Practitioner - Nurse Practitioner 4284758491 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6305 Ivy LN
Suite 260
Greenbelt, MD 20770-6372
Phone (301) 552-3500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R176168MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Daja Health, LLC CurrentSince Mar 28, 2023 Accepting new patients
Rahel G. Yirga MD PC Single Specialty CurrentSince Dec 11, 2022 Accepting new patients
Daja Health, LLC Single Specialty CurrentSince Apr 1, 2023 Accepting new patients

Locations

6305 Ivy Ln
Ste 260
Greenbelt, MD 20770
Phone (202) 670-7703

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

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1407499452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 REXFORD WAY",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207748441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13944 BALTIMORE AVE STE 102",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075000",
            "telephone_number": "240-491-2868",
            "fax_number": "866-207-0983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATEMAFAC",
        "first_name": "JULIUS",
        "credential": "ED.D, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-22",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "R176168",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

Verify at the official NPI Registry.