Individual provider Active NPI

Eric Kobena Safo, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Temple Hills, MD
National Provider Identifier
1629654165
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
NP500004284 Issued in DC
Practice address
3611 Branch Ave Ste 404
Temple Hills, MD 20748-1251
Phone
(240) 719-2587
NPI assigned
Mar 23, 2021
Last updated
Feb 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP500004284 DC
Family Nurse Practitioner 363LF0000X R204606 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NP500004284 DC Primary

Addresses

Primary practice location

3611 Branch Ave Ste 404
Temple Hills, MD 20748-1251

Mailing address

20217 Gentle Way
Gaithersburg, MD 20886-1204

Other practice location 1

8040 Georgia Ave Ste 170
Silver Spring, MD 20910-4959
Phone (202) 360-4787

Other practice location 2

20217 Gentle Way
Gaithersburg, MD 20886-1204
Phone (240) 723-1803

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, VA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20240805001848 DC Practitioner - Nurse Practitioner 6305383605 Reassigns benefits to 4 organizations
I20250731002874 MD Practitioner - Nurse Practitioner 6305383605 Reassigns benefits to 2 organizations
I20250821001058 VA Practitioner - Nurse Practitioner 6305383605 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
Group practices
Axis Healthcare GroupGroup PAC ID 1254409550, 76 clinicians
Medical Faculty Associates, IncGroup PAC ID 4082528898, 676 clinicians

Practice addresses (Care Compare)

1150 Varnum St NE
Washington, DC 20017-2180
Phone (202) 360-4787

1200 Pecan St SE
Washington, DC 20032-2652
Phone (771) 444-6200

8040 Georgia Ave
Suite 170
Silver Spring, MD 20910-4959
Phone (202) 360-4787

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP500004284DCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Multi Healthcare & Consulting LLC CurrentSince Oct 22, 2023 Accepting new patients
Inspire Consulting, LLC Psychiatric/Mental Health CurrentSince Jun 1, 2024 Accepting new patients
Axis Healthcare Group CurrentSince Jun 18, 2025 Accepting new patients
Medical Faculty Associates, Inc CurrentSince Oct 9, 2025 Accepting new patients
Livewell Family Clinic LLC Family Current Accepting new patients
Della Behavioral Health Services CurrentSince Jul 10, 2025 Accepting new patients
Uhs East End Sub, LLC Past Accepting new patients
MCS, PC Psychiatric/Mental Health Past Accepting new patients

Locations

1150 Varnum St NE
Washington, DC 20017
Phone (202) 269-7000

1200 Pecan St SE
Washington, DC 20032
Phone (610) 382-4422

7600 Georgia Ave NW
Ste 304
Washington, DC 20012
Phone (202) 553-1912

900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750

9841 Broken Land Pkwy
Ste 314
Columbia, MD 21046
Phone (410) 929-7225

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

8040 Georgia Ave
Ste 170
Silver Spring, MD 20910
Phone (888) 543-5550

3611 Branch Ave
Ste 404
Temple Hills, MD 20748
Phone (240) 719-2587

Interoperability endpoints

  • Direct secure messaging: eric.safo.p1@direct.mcg-hhs.nextgenshare.com

Organizations & group practices 8

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": "1616457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770336000000",
    "number": "1629654165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20217 GENTLE WAY",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208861204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 BRANCH AVE STE 404",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207481251",
            "telephone_number": "240-719-2587"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8040 Georgia Ave Ste 170",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209104959",
            "country_code": "US",
            "telephone_number": "202-360-4787",
            "fax_number": "202-360-4787",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20217 Gentle Way",
            "address_purpose": "LOCATION",
            "city": "Gaithersburg",
            "state": "MD",
            "postal_code": "208861204",
            "country_code": "US",
            "telephone_number": "240-723-1803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAFO",
        "first_name": "ERIC",
        "middle_name": "KOBENA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-23",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "NP500004284",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R204606",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DC",
            "license": "NP500004284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple Hills, MD

Sources for this page

Verify at the official NPI Registry.