Individual provider Active NPI

Nduka Kaliku, NP

  • Nurse Practitioner
  • Randallstown, MD
National Provider Identifier
1750726865
Registry record updated Sep 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R183330 Issued in MD
Practice address
5401 Old Court Rd
Randallstown, MD 21133-5103
Phone
(410) 521-2200
NPI assigned
May 2, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R183330 MD Primary

Addresses

Primary practice location

5401 Old Court Rd
Randallstown, MD 21133-5103

Mailing address

100 Witmer Rd
Suite 220
Horsham, PA 19044-2291
Phone (215) 442-5046

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
I20131210001853 MD Practitioner - Nurse Practitioner 6800023227 Reassigns benefits to 3 organizations
I20131220001351 DC Practitioner - Nurse Practitioner 6800023227 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CRH MD Management LLCGroup PAC ID 2466841028, 70 clinicians

Practice addresses (Care Compare)

10845 Town Ctr Blvd
Suite 108
Dunkirk, MD 20754-2712
Phone (410) 650-4346

11804 Reisterstown Rd
Reisterstown, MD 21136-3311
Phone (410) 870-5094

12259 Prosperity Dr
Suite 107
Silver Spring, MD 20904-1744
Phone (301) 578-2131

14090 HG Trueman Rd
Suite 1300
Solomons, MD 20688-3151
Phone (410) 394-2800

14421 Baltimore Ave
Laurel, MD 20707-4949
Phone (240) 786-6684

19825 Frederick Rd
Germantown, MD 20876-1309
Phone (240) 801-9944

45325 Abell House LN
California, MD 20619-3211
Phone (301) 862-1807

750 Rockville Pike
Rockville, MD 20852-1133
Phone (301) 424-0658

821 Prince Frederick Blvd
Prince Frederick, MD 20678-3137
Phone (410) 535-8911

8825 Woodyard Rd
Suite 100
Clinton, MD 20735-2754
Phone (240) 746-1330

9550 Livingston Rd
Suite 102
Fort Washington, MD 20744-4918
Phone (240) 253-6312

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Chesapeake Emergency Medicine Physicians, LLC CurrentSince Dec 1, 2020 Accepting new patients
Medstar Urgent Care LLC CurrentSince May 9, 2023 Accepting new patients
Emergency Medicine Associates, PA CurrentSince May 21, 2024 Accepting new patients
Medstar Urgent Care LLC CurrentSince May 9, 2023 Accepting new patients
Emergency Medicine Associates P.a., P.C. Current Accepting new patients
Hospitalist Medicine Physicians of Maryland-Frederick PC CurrentSince Oct 20, 2022 Accepting new patients
CRH MD Management, LLC CurrentSince May 15, 2024 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince May 21, 2024 Accepting new patients
Medstar Urgent Care LLC Current Accepting new patients
CRH MD Management LLC CurrentSince May 15, 2024 Accepting new patients
Medstar Urgent Care, LLC Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

590 Lanier Ave W
Fayetteville, GA 30214

6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890

15001 Health Center Dr
Bowie, MD 20716
Phone (301) 262-5511

400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300

3001 Hospital Dr
Hyattsville, MD 20785
Phone (301) 618-2000

14421 Baltimore Ave
Laurel, MD 20707
Phone (240) 786-6684

7300 Van Dusen Rd
Laurel, MD 20707
Phone (301) 725-4300

5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727

11804 Reisterstown Rd
Reisterstown, MD 21136
Phone (410) 870-5094

14090 Hg Trueman Rd
Ste 1300
Solomons, MD 20688
Phone (410) 394-2800

3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960

11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

Interoperability endpoints

  • Direct secure messaging: nkaliku801611@direct.umm.edu

Organizations & group practices 12

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": "1367452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378166400000",
    "number": "1750726865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WITMER RD",
            "address_2": "SUITE 220",
            "city": "HORSHAM",
            "state": "PA",
            "postal_code": "190442291",
            "telephone_number": "215-442-5046",
            "fax_number": "215-957-2875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 OLD COURT RD",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211335103",
            "telephone_number": "410-521-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALIKU",
        "first_name": "NDUKA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-02",
        "last_updated": "2013-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R183330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randallstown, MD

Sources for this page

Verify at the official NPI Registry.