Individual provider Active NPI

Concillia Tifuh Ngang, NP

  • Acute Care Nurse Practitioner
  • Largo, MD
National Provider Identifier
1497456057
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
R223255 Issued in MD
Practice address
901 Harry S Truman Dr N
Largo, MD 20774-5477
Phone
(301) 213-7744
NPI assigned
Mar 10, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X R223255 MD Primary

Addresses

Primary practice location

901 Harry S Truman Dr N
Largo, MD 20774-5477

Mailing address

3428 Estonia Dr
Bowie, MD 20716-1263

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20241220001032 DC Practitioner - Nurse Practitioner 6103353719 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
Group practices
Rahel G. Yirga MD PCGroup PAC ID 0648335372, 25 clinicians

Practice addresses (Care Compare)

Falls Church, VA 22042
Phone (703) 425-9765

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rahel G. Yirga MD PC CurrentSince Nov 1, 2024 Accepting new patients

Locations

4922 Lasalle Rd
Hyattsville, MD 20782
Phone (301) 445-3501

6035 Burke Centre Pkwy
Ste 390
Burke, VA 22015
Phone (703) 978-0756

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1678406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1497456057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3428 ESTONIA DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207161263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 HARRY S TRUMAN DR N",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207745477",
            "telephone_number": "301-213-7744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGANG",
        "first_name": "CONCILLIA",
        "middle_name": "TIFUH",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-10",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MD",
            "license": "R223255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, MD

Sources for this page

Verify at the official NPI Registry.