NPIMap

Organization Active NPI

Bisak Healthcare Systems

  • Community Health Clinic/Center
  • Baltimore, MD
National Provider Identifier
1639851645
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
BISAK HEALTHCARE SYSTEMS
Practice address
218 E Lexington St Ste 601
Baltimore, MD 21202-3529
Phone
(443) 430-3333
NPI assigned
Aug 1, 2023
Last updated
Oct 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

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

Authorized official

Name
Florence Akanbi, CRNP-PMHNPI 1528578572
Title
Ceo
Phone
(443) 321-3996

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X NU Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

218 E Lexington St Ste 601
Baltimore, MD 21202-3529

Mailing address

218 E Lexington St Ste 601
Baltimore, MD 21202-3529
Phone (443) 430-3333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240827002321 MD Part B Supplier - Clinic/Group Practice 4284173840 Receives reassigned benefits from 1 practitioner
Practice locations: Baltimore, MD

National Provider Directory

National Provider Directory
Tax ID family
Bisak Healthcare Systems2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697155200000",
    "number": "1639851645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 E LEXINGTON ST STE 601",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212023529",
            "telephone_number": "443-430-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 E LEXINGTON ST STE 601",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212023529",
            "telephone_number": "443-430-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BISAK HEALTHCARE SYSTEMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-01",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A",
        "authorized_official_last_name": "AKANBI",
        "authorized_official_first_name": "FLORENCE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-321-3996",
        "authorized_official_credential": "CRNP-PMH"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.