Individual provider Active NPI

Nkeiruka Ikpeama

  • Occupational Therapist
  • Bethesda, MD
National Provider Identifier
1437589967
Registry record updated Nov 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
07055 Issued in MD
Practice address
5215 W Cedar LN
Bethesda, MD 20814-1548
Phone
(301) 897-5093
NPI assigned
Nov 19, 2013
Last updated
Nov 19, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 07055 MD Primary

Addresses

Primary practice location

5215 W Cedar LN
Bethesda, MD 20814-1548

Mailing address

5215 W Cedar LN
Bethesda, MD 20814-1548
Phone (301) 897-5093

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260610002057 MD Practitioner - Occupational Therapist in Private Practice 9436450806 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Howard University College of Medicine, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8 Quails Nest CT
Nottingham, MD 21236-5604

8005 Greenbelt Station Pkwy
Greenbelt, MD 20770-4076

8338 Philadelphia Rd
Rosedale, MD 21237-2928

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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, 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": "1384819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384819200000",
    "number": "1437589967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5215 W CEDAR LN",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208141548",
            "telephone_number": "301-897-5093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 W CEDAR LN",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208141548",
            "telephone_number": "301-897-5093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IKPEAMA",
        "first_name": "NKEIRUKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-19",
        "last_updated": "2013-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "07055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.