Abraham Apene Mbangowah, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R202296 Issued in MD

Practice address

1111 Spring St Ste 220
Silver Spring, MD 20910-4003

Phone

(240) 641-8160

Fax

(240) 641-8166

NPI assigned

Nov 21, 2019

Sex

Male

Sole proprietor

Yes

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

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 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Diversity Health Clinic, LLCGroup PAC ID 6002228202, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: abraham.mbangowah.2@8141.direct.athenahealth.com
• Direct secure messaging: abraham.mbangowah.1@8141.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/23411/brand/1/csg/1/fhir/r4

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.

• Privia Care Center LLC

  • Internal Medicine Physician
  • Arlington, VA
  • NPI 1164874426

  DC

  Medicare reassignment NPD
• Privia Medical Group, LLC

  • Internal Medicine Physician
  • Arlington, VA
  • NPI 1013042480

  DC

  Medicare reassignment NPD
• Diversity Health Clinic, LLC

  • Primary Care Nurse Practitioner
  • Silver Spring, MD
  • NPI 1780286732
  NPD
• Privia Care Center LLC

  • Internal Medicine Physician
  • Baltimore, MD
  • NPI 1730664012
  NPD
• Privia Medical Group, LLC

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Rockville, MD
  • NPI 1811715436
  NPD
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1710523022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15004 PEARTREE DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207213007",
            "telephone_number": "240-481-6178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 SPRING ST STE 220",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104003",
            "telephone_number": "240-641-8160",
            "fax_number": "240-641-8166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15004 Peartree Dr",
            "address_purpose": "LOCATION",
            "city": "Bowie",
            "state": "MD",
            "postal_code": "207213007",
            "country_code": "US",
            "telephone_number": "240-726-8806",
            "fax_number": "888-651-4677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4 Executive Park Ct",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "MD",
            "postal_code": "208742645",
            "country_code": "US",
            "telephone_number": "301-968-0105",
            "fax_number": "800-519-7417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MBANGOWAH",
        "first_name": "ABRAHAM",
        "middle_name": "APENE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-21",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R202296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noella A Mbah
• Ornella Patricia Mbakop
• Ezinna Uloma Mbalewe, RN
• Comfort Mbang, HHA
• Emmanuel Mbangah
• Thierry Arnaud Mbapgue Tchompte
• Bakira Hussein Mbarak
• Donatha Narcis Mbarara
• Madeleine Olive Mbazoa Akoa Epse Tchuinte
• Comfort Mbele

• Family Nurse Practitioner in Silver Spring, MD
• Providers in Silver Spring, 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 Mar 31, 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.