Icon Medicine

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

ICON MEDICINE

Doing business as

Innovative Care Options Network

Practice address

7411 Riggs Rd Ste 300B
Hyattsville, MD 20783-4246

Phone

(240) 966-4266

Fax

(301) 235-1771

NPI assigned

Jan 24, 2023

Last updated

Feb 24, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Timothy Nyakango Onserio, DNP,APRN,FNP,CRNPNPI 1578273017

Title

Clinical Director

Phone

(240) 966-4266

Specialties & licenses 4

Addresses

Other identifiers 4

Other names 1

• INNOVATIVE CARE OPTIONS NETWORK Doing business as

Electronic endpoints 3

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Timothy Nyakango Onserio, DNP, APRN,FNP, CRNP.

  • Family Nurse Practitioner
  • Hyattsville, MD
  • NPI 1578273017

  DC, Multi-Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1674518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740355200000",
    "number": "1477269447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10770 COLUMBIA PIKE STE 300-1021",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209014402",
            "telephone_number": "240-966-4266",
            "fax_number": "301-235-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7411 RIGGS RD STE 300B",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207834246",
            "telephone_number": "240-966-4266",
            "fax_number": "301-235-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICON MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-24",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A",
        "authorized_official_last_name": "ONSERIO",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "NYAKANGO",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "240-966-4266",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP,APRN,FNP,CRNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "O-526793646572",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "APRN11022989",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "0024189089",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRNP LICENSE",
            "identifier": "R189170",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://iconmedicine.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Information and booking",
            "address_1": "3725 Worthington St",
            "city": "White Plains",
            "state": "MD",
            "country_code": "US",
            "postal_code": "206953286",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "spruce.health.com/iconmedicine",
            "affiliation": "N",
            "endpointDescription": "Spruce Health",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Phone Communication",
            "address_1": "7411 Riggs Rd Ste 300B",
            "city": "Hyattsville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207834246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.optimantra.com/",
            "affiliation": "N",
            "endpointDescription": "OptiMantra EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Online",
            "address_1": "7411 Riggs Rd Ste 300B",
            "city": "Hyattsville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207834246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "INNOVATIVE CARE OPTIONS NETWORK",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ubong Ibok, PHARMD
• Folorunso Ibraheem, DNP, MBBS, CFNP
• Farhia Ibrahim
• Zainab Arinola Ibrahim
• Ici Homes LLC
• Ideal Homecare, Inc
• Mariama Idrissou
• Joshua Igbinosun
• Courtney Ihaza
• Bede Chidi Ihuoma, LPN

• Multi-Specialty Clinic/Center in Hyattsville, MD
• Providers in Hyattsville, MD by specialty
• Multi-Specialty Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; 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.