Helen Tinuke Kumolalo, CRNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R143503 Issued in MD

Practice address

5205 East Dr Ste H
Arbutus, MD 21227-2403

Phone

(443) 631-4318

NPI assigned

Mar 6, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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, 2006

Medicare assignment

May accept Medicare assignment

Group practices

Sinai Hospital of Baltimore, IncGroup PAC ID 0941112346, 373 clinicians

Lifebridge Community Physicians IncGroup PAC ID 3678751468, 183 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Levindale Hebrew Geriatric Center and Hospital Hospital, Baltimore, MD, CCN 210064
• Sinai Hospital of Baltimore Hospital, Baltimore, MD, CCN 210012

Merit-based Incentive Payment System (MIPS)

Final score

83.23 of 100Reported as group

Quality

60.26

Promoting interoperability

100

Improvement activities

40

Cost

76.75

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Lifebridge Community Physicians, Inc

  • Cardiovascular Disease Physician
  • Timonium, MD
  • NPI 1174815807

  MD

  Medicare reassignment Care Compare group NPD
• Sinai Hospital of Baltimore Inc

  • Surgical Critical Care Physician
  • Baltimore, MD
  • NPI 1043235666

  MD

  Medicare reassignment Care Compare group NPD
• Helen Kumolalo

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Halethorpe, MD
  • NPI 1679188072
  NPD Authorized official
• Qumolz Healthcare Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Halethorpe, MD
  • NPI 1821818253
  NPD Authorized official
• Sinai Hospital of Baltimore, Inc.

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1285672204
  Care Compare group NPD
• Gilgal Group PA

  • Community/Behavioral Health Agency
  • Arbutus, MD
  • NPI 1790345270

  MD

  Medicare reassignment
• Gilgal Group PA

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Arbutus, MD
  • NPI 1386250660

  Psychiatric/Mental Health

  NPD (past) Authorized official
• Sinai Hospital of Baltimore Inc

  • Community/Retail Pharmacy
  • Baltimore, MD
  • NPI 1598040073
  Care Compare group
• Sinai Hospital of Baltimore Inc

  • Pediatrics Physician
  • Baltimore, MD
  • NPI 1619992237
  Care Compare group
• Sinai Hospital of Baltimore Inc

  • Pediatric Gastroenterology Physician
  • Baltimore, MD
  • NPI 1992720528
  Care Compare group
• Sinai Hospital of Baltimore, Inc

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Baltimore, MD
  • NPI 1013275981
  Care Compare group
• Sinai Hospital of Baltimore, Inc

  • Surgical Oncology Physician
  • Baltimore, MD
  • NPI 1073880183
  Care Compare group

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

• Levindale Hebrew Geriatric Center & Hospital Inc

  • Chronic Disease Hospital
  • Baltimore, MD
  • NPI 1598740821

  Hospital

  Care Compare affiliation
• Sinai Hospital of Baltimore, Inc.

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1285672204

  Hospital

  Care Compare affiliation
• Sinai Hospital of Baltimore, Inc.

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1487325874

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1236297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1497995286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 WEST BELVEDERE AVE",
            "address_2": "CARDIAC DIAGNOSTIC CENTER",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21215",
            "telephone_number": "410-601-8450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5205 EAST DR STE H",
            "city": "ARBUTUS",
            "state": "MD",
            "postal_code": "212272403",
            "telephone_number": "443-631-4318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2401 W Belvedere Ave",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212155216",
            "country_code": "US",
            "telephone_number": "410-601-8450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUMOLALO",
        "first_name": "HELEN",
        "middle_name": "TINUKE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-06",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MD",
            "license": "R143503",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R143503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "032332200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gilgal Group PA
• Gilgal Group PA
• Mehtab Muntasir Hassan
• Kyung E Kim
• Michael Paul Knarr, O.D.
• Jessica Lemon
• Tara Lenczyki, LCSW-C
• Tammy Louise Lutz, PHARM.D.
• Mavis Prempeh Mbi, PHARM. D.
• Colby Jason Millen, PTA

• All providers in Arbutus, MD
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; 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.