Allen Jose Tengco, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R226614 Issued in MD

Practice address

5 Garrett Ave
La Plata, MD 20646-5960

Phone

(301) 535-1715

NPI assigned

Oct 7, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mdics at Civista LLCGroup PAC ID 8325200793, 35 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of MD Charles Regional Medical Center Hospital, La Plata, MD, CCN 210035
• University of MD Capital Region Medical Center Hospital, Upper Marlboro, MD, CCN 210003

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: atengco539089@direct.umm.edu

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.

• Mdics at Civista LLC

  • Hospitalist Physician
  • La Plata, MD
  • NPI 1225323496
  Medicare reassignment Care Compare group NPD
• Civista Medical Center Inc

  • Rural Acute Care Hospital
  • La Plata, MD
  • NPI 1992701825
  NPD (past)

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

• Civista Medical Center Inc

  • Rural Acute Care Hospital
  • La Plata, MD
  • NPI 1992701825
  Care Compare affiliation
• Civista Medical Center, Inc.

  dba University Of Maryland Charles Regional Rehabilitation

  • Physical Therapist
  • La Plata, MD
  • NPI 1689071219

  Hospital

  Care Compare affiliation
• Dimensions Health Corporation

  dba University of Maryland Bowie Health Center

  • General Acute Care Hospital
  • Upper Marlboro, MD
  • NPI 1720099286
  Care Compare affiliation

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

{
    "created_epoch": "1665100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1437874831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3874 SHINER CT",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206037205",
            "telephone_number": "301-535-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 GARRETT AVE",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206465960",
            "telephone_number": "301-535-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENGCO",
        "first_name": "ALLEN",
        "middle_name": "JOSE",
        "name_prefix": "Mr.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-07",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R226614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eugene Suwandhi, MD
• April Michelle Szilagyi
• Victoria Tasie, RPH
• Cheryl Taylor, MBA, CE
• Miranda Teel
• Joshua Tennant, P.T.
• Milen Tesfamariam
• Grace Thatcher, C-SLPA
• The Light House-Gift of Life, Inc.
• The Wilhelm Dental Group

• Family Nurse Practitioner in La Plata, MD
• Providers in La Plata, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; 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.

Verify at the official NPI Registry.