Individual provider Active NPI

Victor Nyame, RN

  • Family Nurse Practitioner
  • Clarksburg, MD
National Provider Identifier
1750908661
Registry record updated Sep 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AC003565 Issued in MD
Practice address
23224 Rainbow Arch Dr
Clarksburg, MD 20871-4481
Phone
(646) 597-3441
NPI assigned
Jun 26, 2020
Last updated
Sep 23, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2021

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 AC003565 MD Primary

Addresses

Primary practice location

23224 Rainbow Arch Dr
Clarksburg, MD 20871-4481

Mailing address

5161 Rice Rd Apt 66
Antioch, TN 37013-2017
Phone (646) 597-3441

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210922002603 DC Practitioner - Nurse Practitioner 4385041060 Reassigns benefits to 1 organization
I20220720000402 MD Practitioner - Nurse Practitioner 4385041060 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Health Weight Management, LLCGroup PAC ID 0840634267, 103 clinicians

Practice addresses (Care Compare)

5022 Campbell Blvd
Suite LM
Nottingham, MD 21236-4969
Phone (410) 870-3808

6700 Race Track Rd
Bowie, MD 20715-3009
Phone (301) 383-2581

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Health Weight Management, LLC CurrentSince Feb 1, 2024 Accepting new patients

Locations

6700 Race Track Rd
Bowie, MD 20715
Phone (301) 383-2581

499 Idlewild Ave
Ste 104
Easton, MD 21601
Phone (410) 697-3832

20410 Observation Dr
Ste 105
Germantown, MD 20876
Phone (240) 805-5045

118 E Oak Ridge Dr
Ste 1100
Hagerstown, MD 21740
Phone (240) 382-1312

1099 Winterson Rd
Ste 300
Linthicum Heights, MD 21090
Phone (443) 929-1785

5022 Campbell Blvd
Ste Lm
Nottingham, MD 21236
Phone (443) 442-1568

12501 Prosperity Dr
Ste 160
Silver Spring, MD 20904
Phone (240) 624-2330

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: nyame.victor@ca-md.direct.office.nextgen.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1593129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1750908661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5161 RICE RD APT 66",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370132017",
            "telephone_number": "646-597-3441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23224 RAINBOW ARCH DR",
            "city": "CLARKSBURG",
            "state": "MD",
            "postal_code": "208714481",
            "telephone_number": "646-597-3441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYAME",
        "first_name": "VICTOR",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-26",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "AC003565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksburg, MD

Sources for this page

Verify at the official NPI Registry.