Individual provider Active NPI

Titilola Iyun

  • Critical Care Medicine Nurse Practitioner
  • Columbia, MD
National Provider Identifier
1538526074
Registry record updated Jan 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Nurse PractitionerTaxonomy code 363LC0200X
License
RN1038620 Issued in DC
Practice address
5900 Millrace CT
Apt A204
Columbia, MD 21045-5288
Phone
(443) 562-4899
NPI assigned
Jan 27, 2016
Last updated
Jan 27, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Nurse Practitioner 363LC0200X RN1038620 DC Primary

Addresses

Primary practice location

5900 Millrace CT
Apt A204
Columbia, MD 21045-5288

Mailing address

5900 Millrace CT
Apt A204
Columbia, MD 21045-5288
Phone (443) 562-4899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160215001027 DC Practitioner - Nurse Practitioner 8325342132 Reassigns benefits to 2 organizations
I20220813000826 MD Practitioner - Nurse Practitioner 8325342132 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

110 Irving St NW
Washington, DC 20010-3017
Phone (202) 877-7000

201 E University Pkwy
Baltimore, MD 21218-2829
Phone (410) 554-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
69.47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN1038620DCMDCritical Care Medicine Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince Mar 31, 2022 Accepting new patients
Washington Hospital Center Corp CurrentSince Jan 5, 2016 Accepting new patients
Medstar Medical Group II LLC CurrentSince Mar 31, 2022 Accepting new patients
Washington Hospital Center Corp Current Accepting new patients
Washington Hospital Center Corp CurrentSince Jan 5, 2016 Accepting new patients

Locations

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

201 E University Pkwy
Baltimore, MD 21218
Phone (410) 554-2651

5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714

1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453852800000",
    "number": "1538526074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 MILLRACE CT",
            "address_2": "APT A204",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455288",
            "telephone_number": "443-562-4899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 MILLRACE CT",
            "address_2": "APT A204",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455288",
            "telephone_number": "443-562-4899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IYUN",
        "first_name": "TITILOLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-27",
        "last_updated": "2016-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "DC",
            "license": "RN1038620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.