Embarka Chaib

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R213072 Issued in MD

Practice address

11370 Pembrooke SQ
Waldorf, MD 20603-4842

Phone

(301) 870-0660

NPI assigned

May 11, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DC2 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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Privia Care Center LLCGroup PAC ID 3274801139, 286 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Homecall Home health agency, Easton, MD, CCN 217066
• Medstar Health Home Care Home health agency, Hyattsville, MD, CCN 217150
• Chesapeake - Potomac Home Health Agency, Inc. Home health agency, Hughesville, MD, CCN 217138
• Medstar Southern Maryland Hospital Center Hospital, Clinton, MD, CCN 210062

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
• Direct secure messaging: embarka.chaib.1@8042.direct.athenahealth.com

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.

• Privia Care Center LLC

  • Internal Medicine Physician
  • Arlington, VA
  • NPI 1164874426

  MD

  Medicare reassignment Care Compare group NPD
• Mdics Rehabilitative Services LLC

  • Internal Medicine Physician
  • Glen Burnie, MD
  • NPI 1124313309

  DC

  Medicare reassignment NPD
• Surgical Associates LLC

  • Vascular Surgery Physician
  • Camp Springs, MD
  • NPI 1518954312
  Medicare reassignment NPD
• Privia Medical Group, LLC

  • Internal Medicine Physician
  • Arlington, VA
  • NPI 1013042480

  DC, MD

  Medicare reassignment NPD
• Menocal Medical Services PA

  • Family Medicine Physician
  • Frederick, MD
  • NPI 1083795918
  NPD
• Privia Care Center LLC

  • Internal Medicine Physician
  • Baltimore, MD
  • NPI 1730664012
  NPD
• Privia Medical Group, LLC

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Rockville, MD
  • NPI 1811715436
  NPD
• Nova Physician Wellness Center PLLC

  • Family Medicine Physician
  • Fairfax, VA
  • NPI 1215307400
  NPD (past)

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

• Homecall, LLC

  • Home Health Agency
  • Easton, MD
  • NPI 1700971843
  Care Compare affiliation Name & address match
• Chesapeake-Potomac Home Health Agency, Inc

  • Home Health Agency
  • Hughesville, MD
  • NPI 1184627234
  Care Compare affiliation
• Medstar Health Visiting Nurse Association, Inc.

  • Home Health Agency
  • Greenbelt, MD
  • NPI 1154437879
  Care Compare affiliation
• Medstar Southern Maryland Hospital Center Inc

  • General Acute Care Hospital
  • Clinton, MD
  • NPI 1366790693
  Care Compare affiliation

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1548796501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12805 PINE TREE LN",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207445355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11370 PEMBROOKE SQ",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034842",
            "telephone_number": "301-870-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAIB",
        "first_name": "EMBARKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "RN1031526",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MD",
            "license": "R213072",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R213072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cerenity Health Care Corporation
• Cerenity Incorporated
• CH MD Northern Collaborative Care PC
• CH MD Southern Collaborative Care PC
• Porcelain Chae
• Jamilah Chambers
• Charles Care Pharmacy LLC
• Edner Charles, PMHNP-BC
• Marie Fayette Charles, CRNP-FNP-PMHNP-BC
• Charleston Grove, LLC

• Family Nurse Practitioner in Waldorf, MD
• Providers in Waldorf, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; 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.