Individual provider Active NPI

Sabik Ayokunle Sadiq, FNP -BC

  • Family Nurse Practitioner
  • Suitland, MD
National Provider Identifier
1669059648
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R205717 Issued in MD
Practice address
6222 Auth Rd
Suitland, MD 20746-4506
Phone
(240) 461-8265
NPI assigned
Mar 26, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X R205717 MD Primary

Addresses

Primary practice location

6222 Auth Rd
Suitland, MD 20746-4506

Mailing address

6222 Auth Rd
Suitland, MD 20746-4506
Phone (240) 461-8265

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
I20250912001113 DC Practitioner - Nurse Practitioner 0749783975 Reassigns benefits to 4 organizations
I20251008001933 MD Practitioner - Nurse Practitioner 0749783975 Reassigns benefits to 3 organizations
I20260401002601 VA Practitioner - Nurse Practitioner 0749783975 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ennoble HC DMV LLCGroup PAC ID 9032517925, 112 clinicians

Practice addresses (Care Compare)

20130 Lakeview Ctr PLZ
Suite 400
Ashburn, VA 20147-5905
Phone (862) 812-9010

39 V St NE
Washington, DC 20002-1329
Phone (862) 812-9010

8115 Maple Lawn Blvd
Suite 350
Fulton, MD 20759-2683
Phone (973) 435-9463

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R205717MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ennoble HC DMV LLC Single Specialty CurrentSince Oct 6, 2025 Accepting new patients
Rahel G. Yirga MD PC Single Specialty CurrentSince Aug 1, 2025 Accepting new patients
Ennoble HC DMV III LLC Single Specialty CurrentSince Oct 28, 2025 Accepting new patients
Ennoble HC DMV II LLC Single Specialty CurrentSince Oct 16, 2025 Accepting new patients

Locations

1500 K St NW
Fl 2
Washington, DC 20005
Phone (212) 287-4257

1500 K St NW
Ofc 226A
Washington, DC 20005
Phone (862) 812-9010

8115 Maple Lawn Blvd
Ste 350
Fulton, MD 20759
Phone (240) 744-0001

4922 Lasalle Rd
Hyattsville, MD 20782
Phone (301) 445-3501

962 Wayne Ave
Silver Spring, MD 20910
Phone (240) 744-0001

2 University Plz
Ste 204
Hackensack, NJ 07601
Phone (201) 564-0142

20130 Lakeview Center Plz
Ste 400
Ashburn, VA 20147
Phone (700) 865-2144

6035 Burke Centre Pkwy
Ste 390
Burke, VA 22015
Phone (703) 978-0756

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1616716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1669059648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6222 AUTH RD",
            "city": "SUITLAND",
            "state": "MD",
            "postal_code": "207464506",
            "telephone_number": "240-461-8265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6222 AUTH RD",
            "city": "SUITLAND",
            "state": "MD",
            "postal_code": "207464506",
            "telephone_number": "240-461-8265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADIQ",
        "first_name": "SABIK",
        "middle_name": "AYOKUNLE",
        "name_prefix": "Mr.",
        "credential": "FNP -BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-26",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R205717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suitland, MD

Sources for this page

Verify at the official NPI Registry.