Individual provider Active NPI

Janet Ngwafu Ndumu

  • Family Nurse Practitioner
  • Laurel, MD
National Provider Identifier
1710494554
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R208508 Issued in MD
Practice address
12235 Apache Tears Cir
Laurel, MD 20708-2850
Phone
(240) 351-0790
NPI assigned
Jan 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R208508 MD Primary

Addresses

Primary practice location

12235 Apache Tears Cir
Laurel, MD 20708-2850

Mailing address

12235 Apache Tears Cir
Laurel, MD 20708-2850
Phone (240) 351-0790

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180626002637 MD Practitioner - Nurse Practitioner 6103171566 Reassigns benefits to 5 organizations
I20200116000627 DC Practitioner - Nurse Practitioner 6103171566 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optimize Medical GroupGroup PAC ID 0446512040, 31 clinicians
Post Acute Health Care Services LLCGroup PAC ID 6204364169, 13 clinicians
Sandeep Sharma, M.D., L.L.C.Group PAC ID 0143316133, 4 clinicians

Practice addresses (Care Compare)

1051 Brightseat Rd
Landover, MD 20785-3738
Phone (240) 487-4400

1314 Bedford Ave
Suite 113
Pikesville, MD 21208-3737
Phone (480) 878-7806

9701 Veirs Dr
Rockville, MD 20850-3414
Phone (301) 655-5660

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
79.75

Merit-based Incentive Payment System (MIPS)

Final score
86.47 of 100Reported as group
Quality
77.19
Improvement activities
40
Cost
63.38

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R208508MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Angel Hands Healthcare Services, LLC CurrentSince Aug 1, 2021 Accepting new patients
Kinetic Medical Group Family CurrentSince Apr 15, 2023 Accepting new patients
Sandeep Sharma, M.D., L.L.C. CurrentSince Jan 1, 2024 Accepting new patients
M Medical Group, Inc. CurrentSince Dec 14, 2021 Accepting new patients
M Medical Group, Inc. Current Accepting new patients
Optimize Medical Group CurrentSince Mar 1, 2019 Accepting new patients
Medical Maryland Star Choice LLC CurrentSince Jun 15, 2022 Accepting new patients
M Medical Group, Inc. CurrentSince Dec 14, 2021 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Viewpoint Wellness LLC PastSince Dec 13, 2020 Accepting new patients
Post Acute Health Care Services LLC Past Accepting new patients

Locations

6600 York Rd
Ste 207
Baltimore, MD 21212
Phone (410) 561-6241

22 S Athol Ave
Baltimore, MD 21229
Phone (410) 566-5015

9106 Pine View Ln
Clinton, MD 20735
Phone (301) 856-2930

5999 Harpers Farm Rd
Ste W230
Columbia, MD 21044
Phone (347) 294-5166

1 Price Dr
Elkton, MD 21921
Phone (410) 398-6474

1126 Opal Ct
Hagerstown, MD 21740
Phone (240) 420-0950

1051 Brightseat Rd
Landover, MD 20785
Phone (240) 487-4400

1314 Bedford Ave
Ste 113
Pikesville, MD 21208
Phone (443) 868-7956

1232 Race Rd
Ste 403
Rosedale, MD 21237
Phone (480) 878-7806

6600 Ridge Rd
Rosedale, MD 21237
Phone (410) 574-4950

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1514851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1710494554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12235 APACHE TEARS CIR",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207082850",
            "telephone_number": "240-351-0790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12235 APACHE TEARS CIR",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207082850",
            "telephone_number": "240-351-0790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NDUMU",
        "first_name": "JANET",
        "middle_name": "NGWAFU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-02",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R208508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

Verify at the official NPI Registry.