Individual provider Active NPI

Zainab Bundu

  • Family Nurse Practitioner
  • Laurel, MD
National Provider Identifier
1508384116
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2017018163 Issued in MD
Practice address
135 Bowie Rd
Laurel, MD 20707-4631
Phone
(240) 584-1048
NPI assigned
Sep 4, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X R202573 MD
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Family Nurse Practitioner 363LF0000X 2017018163 MD Primary

Addresses

Primary practice location

135 Bowie Rd
Laurel, MD 20707-4631

Mailing address

135 Bowie Rd
Laurel, MD 20707-4631
Phone (240) 584-1048

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
I20180202002002 DC Practitioner - Nurse Practitioner 9032479449 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Georgetown Pain Management LLCGroup PAC ID 0648318659, 3 clinicians

Practice addresses (Care Compare)

7300 Hanover Dr
Suite 204
Greenbelt, MD 20770-2247
Phone 2402979016111

Merit-based Incentive Payment System (MIPS)

Final score
23.53 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
78.44

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R202573MDMDInterventional Pain Medicine Physician
2017018163MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Georgetown Pain Management LLC Multi-Specialty CurrentSince Apr 1, 2021 Accepting new patients
Simcare ASC LLC PastSince Jan 5, 2020 Accepting new patients
Frederick Health Hospital Inc Interventional Pain Medicine Past Accepting new patients

Locations

7300 Hanover Dr
Ste 204
Greenbelt, MD 20770
Phone (240) 297-9016

Interoperability endpoints

  • Direct secure messaging: zainab.bundu@2413.securemail.prognocis.com
  • FHIR API: https://api.platform.athenahealth.com/11878/brand/11/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1504483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1508384116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 BOWIE RD",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074631",
            "telephone_number": "240-584-1048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 BOWIE RD",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074631",
            "telephone_number": "240-584-1048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNDU",
        "first_name": "ZAINAB",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-04",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MD",
            "license": "R202573",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "2017018163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

Verify at the official NPI Registry.