Chidiadi Agoh

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R185364 Issued in MD

Practice address

1447 York Rd Ste 506
Lutherville, MD 21093-6022

Phone

(410) 825-2281

NPI assigned

Mar 12, 2015

Last updated

Jul 25, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DC2 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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Lifebridge Community Physicians IncGroup PAC ID 3678751468, 183 clinicians

Adventist Physician Services IncGroup PAC ID 4284631540, 144 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Levindale Hebrew Geriatric Center and Hospital Hospital, Baltimore, MD, CCN 210064
• Adventist Healthcare White Oak Medical Center Hospital, Silver Spring, MD, CCN 210016

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: chidiadi.agoh@ahm.eclinicaldirectplus.com

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.

• Adventist Physician Services, Inc.

  dba Adventist Medical Group

  • Physical Medicine & Rehabilitation Physician
  • Gaithersburg, MD
  • NPI 1376623207

  DC

  Medicare reassignment Care Compare group NPD
• Fairland Behavioral Health Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lanham, MD
  • NPI 1316522006

  DC, Psychiatric/Mental Health

  Medicare reassignment NPD Authorized official
• Lifebridge Community Physicians, Inc

  • Cardiovascular Disease Physician
  • Timonium, MD
  • NPI 1174815807
  Medicare reassignment Care Compare group NPD
• Psychogeriatric Services LLC

  • Psychiatry Physician
  • Columbia, MD
  • NPI 1588689483

  DC

  Medicare reassignment NPD
• Lifebridge Community Physicians Inc

  • Cardiovascular Disease Physician
  • Lutherville, MD
  • NPI 1740086149
  NPD
• Lifebridge Community Physicians, Inc

  dba Dr Cyrus Hamidi

  • Family Medicine Physician
  • Sparks, MD
  • NPI 1134545841
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adventist Healthcare, Inc.

  dba Adventist HealthCare White Oak Medical Center

  • General Acute Care Hospital
  • Silver Spring, MD
  • NPI 1487650024
  Care Compare affiliation
• Levindale Hebrew Geriatric Center & Hospital Inc

  • Chronic Disease Hospital
  • Baltimore, MD
  • NPI 1598740821
  Care Compare affiliation

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

{
    "created_epoch": "1426118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1710370945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6110 MAIN ST",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207062749",
            "telephone_number": "301-731-9888",
            "fax_number": "301-681-4699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1447 YORK RD STE 506",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936022",
            "telephone_number": "410-825-2281"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12073 Tech Rd",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209047873",
            "country_code": "US",
            "telephone_number": "240-691-4953",
            "fax_number": "301-681-4999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1407 York Rd Ste 310",
            "address_purpose": "LOCATION",
            "city": "Lutherville",
            "state": "MD",
            "postal_code": "210936054",
            "country_code": "US",
            "telephone_number": "410-825-2281",
            "fax_number": "410-825-2280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGOH",
        "first_name": "CHIDIADI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-12",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R185364",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R185364",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Lynn Adrales, M.D.
• Advanced Radiology P a
• Advanced Radiology P a
• Advanced Therapeutic Services, LLC
• John P Affronti, M.D.
• Modupe V Agueh McCracken, M.D., MPH
• Michael Craig Ain, M.D.
• Allison Ajluni, MD
• Ayman Akkad, M.D.
• Tala Khalid Al-Talib, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Lutherville, MD
• Providers in Lutherville, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; 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.