Individual provider Active NPI

Memunatu Bangura, M.D.

  • Psychiatry Physician
  • Hyattsville, MD
National Provider Identifier
1760409528
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D0054387 Issued in MD
Practice address
7100 Chesapeake Rd
Suite 201
Hyattsville, MD 20784-2349
Phone
(301) 459-8003
Fax
(301) 459-8005
NPI assigned
Jul 17, 2006
Last updated
Nov 28, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X D0054387 MD Primary

Addresses

Primary practice location

7100 Chesapeake Rd
Suite 201
Hyattsville, MD 20784-2349

Mailing address

7100 Chesapeake Rd
Suite 201
Hyattsville, MD 20784-2349
Phone (301) 459-8003

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040405000452 DC Practitioner - Psychiatry 5890788129 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Howard University College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6201 Greenbelt Rd
Berwyn Heights, MD 20740-2354
Phone (240) 542-4573

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0054387MDMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Memunatu Bangura and Associates Psychiatry CurrentSince Apr 17, 2007 Accepting new patients
Wisconsin Ave Psychiatric Center Inc Psychiatry CurrentSince May 1, 2008 Accepting new patients
Allied Behavioral Services, Inc Psychiatry Past Accepting new patients
Affiliated Sante Group Past Accepting new patients
Khaled a Khalafallah, PC Psychiatry Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

4228 Wisconsin Ave NW
Washington, DC 20016
Phone (202) 885-5600

6201 Greenbelt Rd
Berwyn Heights, MD 20740
Phone (240) 542-4573

6201 Greenbelt Rd
Ste M17
Berwyn Heights, MD 20740
Phone (240) 542-4573

7100 Chesapeake Rd
Ste 201
Landover Hls, MD 20784
Phone (240) 535-4818

Organizations & group practices 6

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196208000000",
    "number": "1760409528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 CHESAPEAKE RD",
            "address_2": "SUITE 201",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207842349",
            "telephone_number": "301-459-8003",
            "fax_number": "301-459-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 CHESAPEAKE RD",
            "address_2": "SUITE 201",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207842349",
            "telephone_number": "301-459-8003",
            "fax_number": "301-459-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANGURA",
        "first_name": "MEMUNATU",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0054387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

Verify at the official NPI Registry.