Individual provider Active NPI

Geoffrey Masese Kebwaro

  • Family Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1447966221
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R197131 Issued in MD
Practice address
6000 Bellona Ave
Baltimore, MD 21212-2922
Phone
(410) 323-4223
Fax
(410) 323-9274
NPI assigned
Jan 25, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R197131 MD Primary

Addresses

Primary practice location

6000 Bellona Ave
Baltimore, MD 21212-2922

Mailing address

6000 Bellona Ave
Baltimore, MD 21212-2922
Phone (410) 323-4223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230421001686 MD Practitioner - Nurse Practitioner 2365807567 Reassigns benefits to 3 organizations
I20230424001043 DC Practitioner - Nurse Practitioner 2365807567 Reassigns benefits to 1 organization

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
PA Post Acute Services PCGroup PAC ID 7911374905, 35 clinicians
Maryland Medical First PAGroup PAC ID 1850329715, 26 clinicians

Practice addresses (Care Compare)

2525 W Belvedere Ave
Baltimore, MD 21215-5203
Phone (410) 367-9100

4011 Randolph Rd
Silver Spring, MD 20902-1054
Phone (410) 661-4670

8713 Harford Rd
Suite 1
Parkville, MD 21234-4650
Phone (443) 500-0431

8901 Clement Ave
Parkville, MD 21234-2603
Phone (410) 661-4670

Hospital & facility affiliations

  • Gilchrist Hospice Care, Inc Hospice, Hunt Valley, MD, CCN 211526

Merit-based Incentive Payment System (MIPS)

Final score
87.35 of 100Reported as group
Quality
53.9
Promoting interoperability
99
Improvement activities
40
Cost
71.42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R197131MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
U-Baltimore Professional Health Services CurrentSince Jul 4, 2025 Accepting new patients
Maryland Medical First P.a. CurrentSince Mar 20, 2023 Accepting new patients

Locations

8713 Harford Rd
Ste 1
Parkville, MD 21234
Phone (443) 500-0431

8901 Clement Ave
Parkville, MD 21234
Phone (410) 661-4670

4011 Randolph Rd
Wheaton, MD 20902
Phone (301) 933-2500

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BAFGCA

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.

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": "1674604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1447966221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 BELLONA AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212122922",
            "telephone_number": "410-323-4223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 BELLONA AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212122922",
            "telephone_number": "410-323-4223",
            "fax_number": "410-323-9274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEBWARO",
        "first_name": "GEOFFREY",
        "middle_name": "MASESE",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-25",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R197131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.