Active NPI
Kathryn Maduforo, NP
- Family Nurse Practitioner
- Silver Spring, MD
National Provider Identifier
1750946729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R202144
- Practice address
- 11223 Lockwood Dr
Silver Spring, MD 20901-4554 - Phone
- (240) 254-3375
- Fax
- (410) 844-6442
- NPI assigned
- May 6, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R202144 | MD | Primary |
Addresses
Primary practice location
11223 Lockwood Dr
Silver Spring, MD 20901-4554
Mailing address
11223 Lockwood Dr
Silver Spring, MD 20901-4554
Phone (240) 254-3375
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
11223 Lockwood Dr
Silver Spring, MD 20901-4554
Phone (240) 254-3375
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehoboth Medical Center LLC | Clinic/Center | Current | Accepting new patients |
| Rehoboth Group LLC | Current | Accepting new patients |
Locations
11223 Lockwood Dr
Silver Spring, MD 20901
Phone (240) 254-3375
14446 Layhill Rd
Silver Spring, MD 20906
Phone (240) 606-7031
Organizations & group practices 2
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.
-
- Primary Care Nurse Practitioner
- Silver Spring, MD
- NPI 1356980270
Clinic/Center, DC
-
- Developmental Disabilities Clinic/Center
- Lanham, MD
- NPI 1437925179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717545600000",
"number": "1750946729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11223 LOCKWOOD DR",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209014554",
"telephone_number": "240-254-3375",
"fax_number": "410-844-6442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11223 LOCKWOOD DR",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209014554",
"telephone_number": "240-254-3375",
"fax_number": "410-844-6442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADUFORO",
"first_name": "KATHRYN",
"name_prefix": "Dr.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-06",
"last_updated": "2024-06-05",
"certification_date": "2024-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R202144",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.