Individual provider Active NPI

Doris Dolapo Faturoti, NURSE PRACTITIONER

  • Adult Medicine Physician
  • Glen Burnie, MD
National Provider Identifier
1427779560
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
R164383 Issued in MD
Practice address
1600 Crain Hwy S
Glen Burnie, MD 21061-5577
Phone
(240) 401-5270
Fax
(443) 594-2112
NPI assigned
Sep 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X R164383 MD Primary

Addresses

Primary practice location

1600 Crain Hwy S
Glen Burnie, MD 21061-5577

Mailing address

1908 Waesche PL
Bowie, MD 20721-2262
Phone (301) 728-4439

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Computer Health Information Exchange (HIE)

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
I20230822001603 DC Practitioner - Nurse Practitioner 8729440029 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

8700 Central Ave
Suite 302a
Hyattsville, MD 20785-4853
Phone (301) 613-9295

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Assured Access Medical Associates Inc. CurrentSince Jul 1, 2023 Accepting new patients
Healthy Choice Family Clinic and Urgent Care, LLC CurrentSince Jul 2, 2023 Accepting new patients
Healthy Choice Family Clinic and Urgent Care, LLC Current Accepting new patients

Locations

7221 Hanover Pkwy
Ste C
Greenbelt, MD 20770
Phone (301) 439-4422

8700 Central Ave
Ste 302A
Landover, MD 20785
Phone (301) 613-9295

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1427779560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 WAESCHE PL",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207212262",
            "telephone_number": "301-728-4439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CRAIN HWY S",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615577",
            "telephone_number": "240-401-5270",
            "fax_number": "443-594-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATUROTI",
        "first_name": "DORIS",
        "middle_name": "DOLAPO",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-07",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "MD",
            "license": "R164383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Computer",
            "affiliation": "N",
            "endpointDescription": "An internel- capable computer hardware device",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1600 Crain Hwy S",
            "city": "Glen Burnie",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210615577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.