Individual provider Active NPI

Hilton Ugah Atabed

  • Community Health Worker
  • Bladensburg, MD
National Provider Identifier
1669219663
Registry record updated May 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Practice address
4468 Blue Heron Way
Bladensburg, MD 20710-2401
Phone
(240) 749-4384
NPI assigned
Jul 9, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Community Health Worker 172V00000X Primary

Addresses

Primary practice location

4468 Blue Heron Way
Bladensburg, MD 20710-2401

Mailing address

4468 Blue Heron Way
Bladensburg, MD 20710-2401
Phone (240) 749-4384

Other practice location 1

4468 Blue Heron Way
Bladensburg, MD 20710-2401
Phone (240) 749-4384

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748044800000",
    "number": "1669219663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4468 BLUE HERON WAY",
            "city": "BLADENSBURG",
            "state": "MD",
            "postal_code": "207102401",
            "telephone_number": "240-749-4384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4468 BLUE HERON WAY",
            "city": "BLADENSBURG",
            "state": "MD",
            "postal_code": "207102401",
            "telephone_number": "240-749-4384"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4468 Blue Heron Way",
            "address_purpose": "LOCATION",
            "city": "Bladensburg",
            "state": "MD",
            "postal_code": "207102401",
            "country_code": "US",
            "telephone_number": "240-749-4384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATABED",
        "first_name": "HILTON",
        "middle_name": "UGAH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-09",
        "last_updated": "2025-05-24",
        "certification_date": "2025-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bladensburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.