Koudiratou Radji, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R156395 Issued in MD

Practice address

6201 Greenbelt Rd Ste M18
Berwyn Heights, MD 20740-2333

Phone

(301) 272-4267

Fax

(301) 560-5557

NPI assigned

Dec 16, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, MD2 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 2

Specialty

Nurse Practitioner

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Allegis Healthcare, Inc

  • Nurse Practitioner
  • Berwyn Heights, MD
  • NPI 1477805422

  DC

  Medicare reassignment NPD Authorized official
• Medstar Urgent Care LLC

  • Urgent Care Clinic/Center
  • Baltimore, MD
  • NPI 1902175870
  Medicare reassignment NPD
• Harcart Health Holdings, LLC

  • Emergency Medicine Physician
  • Rockville, MD
  • NPI 1912911215
  Medicare reassignment
• Medstar Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Wheaton, MD
  • NPI 1871843409
  NPD
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Total Investment & Marketing, Inc

  • Assisted Living Facility
  • Fulton, MD
  • NPI 1578986105
  NPD (past)

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

{
    "created_epoch": "1229385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1699911966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 GREENBELT RD STE M18",
            "city": "BERWYN HEIGHTS",
            "state": "MD",
            "postal_code": "207402333",
            "telephone_number": "301-272-4267",
            "fax_number": "301-560-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 GREENBELT RD STE M18",
            "city": "BERWYN HEIGHTS",
            "state": "MD",
            "postal_code": "207402333",
            "telephone_number": "301-272-4267",
            "fax_number": "301-560-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADJI",
        "first_name": "KOUDIRATOU",
        "name_prefix": "Miss",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-16",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R156395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Podiatry Associates PA
• Preferred Health Care Services Incorporated
• Probity Healthcare Services & Clinic, LLC
• Pryme Community Clinic Incorporated
• Pryme Community Clinic Incorporated
• Rasaq Abu, M.D., P.C.
• Erica Reed, MSW
• Norma Meliza Rosa
• Robert Arnold Rovner, PH.D.
• S.a.F.E. Counseling Services LLC

• Family Nurse Practitioner in Berwyn Heights, MD
• Providers in Berwyn Heights, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.