Individual provider Active NPI

Martins Aziengbe

  • Psychiatric/Mental Health Nurse Practitioner
  • Washington, DC
National Provider Identifier
1659618908
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
NP1046573 Issued in DC
Practice address
1300 I St NW Ste 400E
Washington, DC 20005-3318
Phone
(301) 792-9424
NPI assigned
Jan 7, 2013
Last updated
Sep 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NP1046573 DC Primary

Addresses

Primary practice location

1300 I St NW Ste 400E
Washington, DC 20005-3318

Mailing address

7600 Georgia Ave NW
Suite 323
Washington, DC 20012-1616
Phone (202) 723-3060

Other practice location 1

7600 Georgia Ave NW
Suite 323
Washington, DC 20012-1616
Phone (202) 723-3060 ext. 213

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20231005000364 DC Practitioner - Nurse Practitioner 9537514989 Reassigns benefits to 3 organizations

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
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

Merit-based Incentive Payment System (MIPS)

Final score
30 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP1046573DCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Health Solutions, LLC Psychiatric/Mental Health CurrentSince Jan 5, 2025 Accepting new patients
Rejoice MJ Health Services Inc Current Accepting new patients
Arising Behavioral Health and Services LLC CurrentSince Aug 21, 2023 Accepting new patients
Elevate Health Solutions, LLC CurrentSince Jan 5, 2025 Accepting new patients

Locations

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

2425 25th St SE
Washington, DC 20020
Phone (202) 678-0013

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

Organizations & group practices 4

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": "1357516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1659618908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 GEORGIA AVE NW",
            "address_2": "SUITE 323",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200121616",
            "telephone_number": "202-723-3060",
            "fax_number": "202-723-3065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 I ST NW STE 400E",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200053318",
            "telephone_number": "301-792-9424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7600 Georgia Ave NW",
            "address_2": "SUITE 323",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200121616",
            "country_code": "US",
            "telephone_number": "202-723-3060 x213",
            "fax_number": "202-723-3065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AZIENGBE",
        "first_name": "MARTINS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-07",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DC",
            "license": "NP1046573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.