Active NPI
Mekdes Niguse, PA
- Physician Assistant
- Olney, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 18101 Prince Philip Dr
Olney, MD 20832-1514 - Phone
- (301) 774-8882
- NPI assigned
- Jan 16, 2022
- Last updated
- Apr 1, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
18101 Prince Philip Dr
Olney, MD 20832-1514
Mailing address
14207 Alta Oaks Dr Apt 304
Rockville, MD 20850-7434
Other practice location 1
14207 Alta Oaks Dr Apt 304
Rockville, MD 20850-7434
Phone (202) 817-6481
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1145 19TH St NW
311 MMG at 19TH Street NW
Washington, DC 20036-3735
Phone (202) 429-2401
18101 Prince Philip Dr
Olney, MD 20832-1514
Phone (301) 570-7404
18105 Prince Philip Dr
Olney, MD 20832-1514
Phone (301) 774-8962
4520 E W Hwy
Suite 775
Bethesda, MD 20814-0066
Phone (410) 823-6408
9715 Medical Ctr Dr
Suite 528
Rockville, MD 20850-3352
Phone (410) 823-6408
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.34 of 100
- Quality
- 67.9
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.47
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Neta, Inc. | Past | Accepting new patients |
Locations
1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401
29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300
18101 Prince Philip Dr
Olney, MD 20832
Phone (301) 774-8618
Interoperability endpoints
- bloomhealthcenters.mekdesniguse@131200.advancedmd-direct.com
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.
-
dba Bloom Health Centers
- Psychologist
- Timonium, MD
- NPI 1891721981
DC, VA
-
- Internal Medicine Physician
- Washington, DC
- NPI 1376887844
-
- Child & Adolescent Psychiatry Physician
- Arlington, VA
- NPI 1134506520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648771200000",
"number": "1437800935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14207 ALTA OAKS DR APT 304",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208507434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18101 PRINCE PHILIP DR",
"city": "OLNEY",
"state": "MD",
"postal_code": "208321514",
"telephone_number": "301-774-8882"
}
],
"practiceLocations": [
{
"address_1": "14207 Alta Oaks Dr Apt 304",
"address_purpose": "LOCATION",
"city": "Rockville",
"state": "MD",
"postal_code": "208507434",
"country_code": "US",
"telephone_number": "202-817-6481",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NIGUSE",
"first_name": "MEKDES",
"name_prefix": "Mrs.",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-16",
"last_updated": "2022-04-01",
"certification_date": "2022-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olney, MD
- Mary Njeri Ngugi, LCMFT
- Shannon Denham Nguy, CRNP
- My-Linh Nguyen, MD
- Lisa Nicholas, CRNP
- Phyllis E Nicholson, MD
- Kirstie Ninan
- Rafael J Nollie, CSA/LPN
- Jennifer M Novick, ED.M.
- NRH Regional Rehab at Olney, Inc. (MedStar Health Physical Therapy at Olney)
- NRH Regional Rehab at Olney, Inc. (MedStar Health Physical Therapy at Olney)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.