Organization Active NPI

Dr. Memunatu Bangura and Associates

  • Psychiatry Physician
  • Hyattsville, MD
National Provider Identifier
1457378119
Registry record updated Jan 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D0054387 Issued in MD
Legal business name
DR. MEMUNATU BANGURA AND ASSOCIATES
Practice address
7100 Chesapeake Rd
Suite 201
Hyattsville, MD 20784-2349
Phone
(301) 459-8003
Fax
(301) 459-8005
NPI assigned
Jul 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2008

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

Authorized official

Name
Dr. Memunatu Bangura, M.D.NPI 1760409528
Title
Owner
Phone
(301) 459-8003

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X D0054387 MD Primary

Addresses

Primary practice location

7100 Chesapeake Rd
Suite 201
Hyattsville, MD 20784-2349

Mailing address

7100 Chesapeake Rd
Suite 201
Hyattsville, MD 20784-2349
Phone (301) 459-8003

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080325000078 DC Part B Supplier - Clinic/Group Practice 1557447034 Receives reassigned benefits from 1 practitioner
Practice locations: Berwyn Heights, MD; College Park, MD

National Provider Directory

National Provider Directory

Locations

6201 Greenbelt Rd
Ste M17
Berwyn Heights, MD 20740
Phone (240) 542-4573

7100 Chesapeake Rd
Ste 201
Landover Hls, MD 20784
Phone (240) 535-4818

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201305600000",
    "number": "1457378119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 CHESAPEAKE RD",
            "address_2": "SUITE 201",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207842349",
            "telephone_number": "301-459-8003",
            "fax_number": "301-459-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 CHESAPEAKE RD",
            "address_2": "SUITE 201",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207842349",
            "telephone_number": "301-459-8003",
            "fax_number": "301-459-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MEMUNATU BANGURA AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2008-01-26",
        "status": "A",
        "authorized_official_last_name": "BANGURA",
        "authorized_official_first_name": "MEMUNATU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-459-8003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0054387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.