Individual provider Active NPI

Tolulope Ige, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1427620681
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R220240 Issued in MD
Practice address
3001 S Hanover St
Baltimore, MD 21225-1233
Phone
(443) 340-6332
NPI assigned
Jul 15, 2021
Last updated
Mar 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R220240 MD Primary

Addresses

Primary practice location

3001 S Hanover St
Baltimore, MD 21225-1233

Mailing address

707 McKewin Ave
Baltimore, MD 21218-2545

Other practice location 1

9199 Reisterstown Rd Ste 105B
Owings Mills, MD 21117-4513
Phone (410) 989-9922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20220128000338 MD Practitioner - Nurse Practitioner 1557753316 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

204 S Castle St
Baltimore, MD 21231-2601
Phone (443) 879-3733

3001 S Hanover St
Baltimore, MD 21225-1233
Phone (410) 350-3200

428 E 25TH St
Baltimore, MD 21218-5304
Phone (410) 617-0142

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
69.47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R220240MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Attentive Health Care LLC Psychiatric/Mental Health CurrentSince Feb 12, 2024 Accepting new patients
Long Integrated Psychiatric Services LLC Psychiatric/Mental Health CurrentSince Jan 20, 2022 Accepting new patients
Medstar Medical Group II LLC CurrentSince Oct 1, 2022 Accepting new patients
Harwood Behavioral Health II LLC CurrentSince Jun 1, 2025 Accepting new patients
Long Integrated Psychiatric Services LLC Psychiatric/Mental Health CurrentSince Jan 20, 2022 Accepting new patients
Harwood Behavioral Health II LLC CurrentSince Jun 1, 2025 Accepting new patients

Locations

428 E 25th St
Baltimore, MD 21218
Phone (240) 813-9867

3001 S Hanover St
Brooklyn Park, MD 21225
Phone (410) 350-3200

7652 Belair Rd
Ste A
Nottingham, MD 21236
Phone (410) 508-0722

Organizations & group practices 6

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 1

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": "1626307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1427620681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 MCKEWIN AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212182545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 S HANOVER ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212251233",
            "telephone_number": "443-340-6332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9199 Reisterstown Rd Ste 105B",
            "address_purpose": "LOCATION",
            "city": "Owings Mills",
            "state": "MD",
            "postal_code": "211174513",
            "country_code": "US",
            "telephone_number": "410-989-9922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IGE",
        "first_name": "TOLULOPE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-15",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R220240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.