Individual provider Active NPI

Rahmot Ibiwunmi Raji

  • Psychiatric/Mental Health Nurse Practitioner
  • La Plata, MD
National Provider Identifier
1609624469
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R243611 Issued in MD
Practice address
5 Garrett Ave
La Plata, MD 20646-5960
Phone
(240) 421-4164
NPI assigned
May 7, 2024
Last updated
May 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R243611 MD Primary

Addresses

Primary practice location

5 Garrett Ave
La Plata, MD 20646-5960

Mailing address

3652 Clairton St
Waldorf, MD 20603-7004
Phone (240) 421-4164

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
I20240905002805 DC Practitioner - Nurse Practitioner 1951841915 Reassigns benefits to 3 organizations
I20260311004456 MD Practitioner - Nurse Practitioner 1951841915 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arising Behavioral Health and Services LLCGroup PAC ID 2567827629, 8 clinicians

Practice addresses (Care Compare)

1300 I St NW
Suite 400E
Washington, DC 20005-3318
Phone (301) 792-9424

3460 Old Washington Rd
Suite 203a
Waldorf, MD 20602-3243
Phone (240) 221-3116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R243611MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Health Solutions, LLC Psychiatric/Mental Health CurrentSince Jan 1, 2025 Accepting new patients
Innerbloom Mental Health Clinics LLC Psychiatric/Mental Health CurrentSince Feb 1, 2026 Accepting new patients
Arising Behavioral Health and Services LLC CurrentSince Jun 22, 2024 Accepting new patients
Elevate Health Solutions, LLC CurrentSince Jan 1, 2025 Accepting new patients
Prominent Community Health and Research LLC CurrentSince Feb 22, 2025 Accepting new patients

Locations

1300 I St NW
Ste 400E
Washington, DC 20005
Phone (202) 902-7324

650 Pennsylvania Ave SE
Ste 330
Washington, DC 20003
Phone (202) 610-9570

6490 Landover Rd
Ste D
Cheverly, MD 20785
Phone (240) 413-4131

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.

NPI Registry JSON

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

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1609624469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3652 CLAIRTON ST",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206037004",
            "telephone_number": "240-421-4164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 GARRETT AVE",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206465960",
            "telephone_number": "240-421-4164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJI",
        "first_name": "RAHMOT",
        "middle_name": "IBIWUNMI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-05-07",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R243611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Plata, MD

Sources for this page

Verify at the official NPI Registry.