Individual provider Active NPI

Gibrilla Mustapha Sannoh, NP

  • Family Nurse Practitioner
  • Gwynn Oak, MD
National Provider Identifier
1528786126
Registry record updated Nov 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2021097031 Issued in MD
Practice address
7131 Liberty Rd Ste 100
Gwynn Oak, MD 21207-4580
Phone
(443) 200-5338
NPI assigned
Aug 19, 2022
Last updated
Nov 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2021097031 MD Primary

Addresses

Primary practice location

7131 Liberty Rd Ste 100
Gwynn Oak, MD 21207-4580

Mailing address

4 Shasta Cir Apt F
Owings Mills, MD 21117-3720
Phone (443) 653-0459

Other practice location 1

100 Owings Ct Ste 8
Reisterstown, MD 21136-3045
Phone (443) 653-0459

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251203002725 MD Practitioner - Nurse Practitioner 0042703571 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4 Shasta Cir
Apt F
Owings Mills, MD 21117-3719

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2021097031MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Freetown Family Clinic LLC CurrentSince Nov 12, 2025 Accepting new patients

Locations

100 Owings Ct
Ste 8
Reisterstown, MD 21136
Phone (410) 526-7100

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": "1660867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763164800000",
    "number": "1528786126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 SHASTA CIR APT F",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211173720",
            "telephone_number": "443-653-0459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7131 LIBERTY RD STE 100",
            "city": "GWYNN OAK",
            "state": "MD",
            "postal_code": "212074580",
            "telephone_number": "443-200-5338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Owings Ct Ste 8",
            "address_purpose": "LOCATION",
            "city": "Reisterstown",
            "state": "MD",
            "postal_code": "211363045",
            "country_code": "US",
            "telephone_number": "443-653-0459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANNOH",
        "first_name": "GIBRILLA",
        "middle_name": "MUSTAPHA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-19",
        "last_updated": "2025-11-15",
        "certification_date": "2025-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "2021097031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gwynn Oak, MD

Sources for this page

Verify at the official NPI Registry.