Deborah Koroma, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R192395 Issued in MD

Practice address

8700 Central Ave Ste 302a
Landover, MD 20785-4853

Phone

(301) 613-9295

NPI assigned

Mar 10, 2011

Sex

Female

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, 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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Advance Integrated Health LLCGroup PAC ID 4183043623, 3 clinicians

White Plains Primary CareGroup PAC ID 0547492597, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

53.05 of 100Reported as group

Quality

49.52

Promoting interoperability

0

Improvement activities

40

Cost

77.32

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Advance Integrated Health, LLC

  • Multi-Specialty Clinic/Center
  • Bowie, MD
  • NPI 1952934671

  DC

  Medicare reassignment Care Compare group NPD Authorized official
• White Plains Primary Care

  • Family Nurse Practitioner
  • White Plains, MD
  • NPI 1720424450
  Medicare reassignment Care Compare group NPD
• CRH MD Management LLC

  dba Patriot Urgent Care

  • Urgent Care Clinic/Center
  • Reisterstown, MD
  • NPI 1598435059

  DC

  Medicare reassignment NPD
• Advance Integrated Health, LLC

  dba AIH Behavioral Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Waldorf, MD
  • NPI 1952976771
  NPD
• CRH MD Management, LLC

  dba Patriot Urgent Care

  • Urgent Care Clinic/Center
  • Fort Washington, MD
  • NPI 1841072477
  NPD
• Prince George's County Health Department

  dba General Clinics

  • Public Health or Welfare Agency
  • Cheverly, MD
  • NPI 1366711947
  NPD

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

{
    "created_epoch": "1299715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1780982066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16204 PENTERRA WAY",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207161919",
            "telephone_number": "240-432-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 CENTRAL AVE STE 302A",
            "city": "LANDOVER",
            "state": "MD",
            "postal_code": "207854853",
            "telephone_number": "301-613-9295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOROMA",
        "first_name": "DEBORAH",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-10",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R192395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hariel-Deneen King
• Ricquita Shawnita King
• William Louis King, LPTA
• Kudirat Koletowo
• Alice Konneh
• Sarian Koroma
• KPM Specialty Holdings Inc (KPM Specialty Pharmacy)
• KTS Solutions, Inc.
• Jasmine Lamboy, LMSW, LGSW
• Landover Optometry, LLC (My Eye Dr.- Landover)

• Family Nurse Practitioner in Landover, MD
• Providers in Landover, 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 Jan 7, 2020; 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.