Individual provider Active NPI

Henry Eromosele Inegbenosun, DNP, CRNP, FNP-BC

  • Family Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1548832256
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F07210722 Issued in MD
Practice address
22 S Greene St
Baltimore, MD 21201-1590
Phone
(410) 328-8667
NPI assigned
Jul 13, 2021
Last updated
Feb 14, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

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 F07210722 MD Primary

Addresses

Primary practice location

22 S Greene St
Baltimore, MD 21201-1590

Mailing address

22 S Greene St
Baltimore, MD 21201-1590
Phone (410) 328-8667

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210929001558 MD Practitioner - Nurse Practitioner 7416354774 Reassigns benefits to 4 organizations
I20230428000088 DC Practitioner - Nurse Practitioner 7416354774 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

1805 Columbia Rd NW
MMG Adams Morgan
Washington, DC 20009-2001
Phone (202) 797-4950

4660 Wilkens Ave
Suite 100
Baltimore, MD 21229-4899
Phone (410) 247-0782

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

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F07210722MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Family Medicine Associates, P.a. Current Accepting new patients
Medstar Medical Group II LLC CurrentSince Jul 1, 2024 Accepting new patients
Medstar Urgent Care LLC CurrentSince Mar 12, 2023 Accepting new patients
Umms Ambulatory Care LLC CurrentSince Sep 27, 2021 Accepting new patients
Medstar Medical Group II LLC CurrentSince Jul 1, 2024 Accepting new patients
University of Maryland Family Medicine Associates, P.a. CurrentSince Mar 14, 2022 Accepting new patients
Umms Ambulatory Care LLC Current Accepting new patients
University of Maryland Family Medicine Associates, P.a. CurrentSince Mar 14, 2022 Accepting new patients
Umms Ambulatory Care LLC CurrentSince Sep 27, 2021 Accepting new patients
Medstar Urgent Care, LLC Current Accepting new patients
Medstar Urgent Care LLC Current Accepting new patients
Medstar Urgent Care LLC CurrentSince Mar 12, 2023 Accepting new patients
University of Maryland Faculty Physicians Immediate Care, LLC CurrentSince Mar 14, 2022 Accepting new patients

Locations

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

1805 Columbia Rd NW
Washington, DC 20009
Phone (202) 797-4950

3007 Tilden St NW
Ste 5N
Washington, DC 20008

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

4660 Wilkens Ave
Ste 100
Baltimore, MD 21229
Phone (410) 247-0782

6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890

29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300

5890 Waterloo Rd
Columbia, MD 21045
Phone (410) 328-2603

8 Denton Plz
Denton, MD 21629
Phone (443) 606-2300

1730 Merritt Blvd
Dundalk, MD 21222
Phone (410) 282-2756

28522 Marlboro Ave
#C
Easton, MD 21601
Phone (443) 746-0086

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

1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440

23511 Hollywood Rd
Ste 2
Leonardtown, MD 20650
Phone (301) 997-0611

25500 Point Lookout Rd
Leonardtown, MD 20650
Phone (301) 475-6106

18109 Prince Philip Dr
Ste B100
Olney, MD 20832
Phone (301) 774-8820

3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960

11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505

3610 King St
#C
Alexandria, VA 22302
Phone (571) 977-5663

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1548832256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 S GREENE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011590",
            "telephone_number": "410-328-8667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 S GREENE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011590",
            "telephone_number": "410-328-8667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INEGBENOSUN",
        "first_name": "HENRY",
        "middle_name": "EROMOSELE",
        "name_prefix": "Dr.",
        "credential": "DNP, CRNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-13",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "F07210722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.