Fadila Kakaye, CRNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

R163320 Issued in MD

Practice address

4600 Powder Mill Rd Ste 450
Beltsville, MD 20705-2686

Phone

(240) 701-9097

Fax

(833) 471-0372

NPI assigned

Nov 2, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Fadila Aboudermane Other name

Electronic endpoints 3

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dimensions Healthcare Associates, IncGroup PAC ID 1557269743, 198 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of MD Capital Region Medical Center Hospital, Upper Marlboro, MD, CCN 210003

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: fkakaye799384@direct.umm.edu

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.

• Dimensions Healthcare Associates, Inc.

  • Anesthesiology Physician
  • Largo, MD
  • NPI 1346354834

  DC

  Medicare reassignment Care Compare group NPD
• K Primary Health & Urgent Care LLC

  • Internal Medicine Physician
  • Beltsville, MD
  • NPI 1972383347

  DC

  Medicare reassignment NPD Authorized official
• Dimensions Health Associates Dba University of Maryland Capital Region

  • Internal Medicine Physician
  • Oxon Hill, MD
  • NPI 1407486293
  NPD
• Dimensions Healthcare Associates Inc

  • Cardiovascular Disease Physician
  • Laurel, MD
  • NPI 1538220512
  NPD
• Dimensions Healthcare Associates Inc

  • Internal Medicine Physician
  • Laurel, MD
  • NPI 1487714168
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dimensions Health Corporation

  • General Acute Care Hospital
  • Upper Marlboro, MD
  • NPI 1720099286
  Care Compare affiliation

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

{
    "created_epoch": "1635811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1801551015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 POCONO PL",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207053542",
            "telephone_number": "240-444-9514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 POWDER MILL RD STE 450",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207052686",
            "telephone_number": "240-701-9097",
            "fax_number": "833-471-0372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Harry S Truman Dr N",
            "address_purpose": "LOCATION",
            "city": "Upper Marlboro",
            "state": "MD",
            "postal_code": "207745477",
            "country_code": "US",
            "telephone_number": "240-677-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAKAYE",
        "first_name": "FADILA",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-02",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R163320",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MD",
            "license": "R163320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Insightoday@aol.con",
            "affiliation": "N",
            "address_1": "3600 Pocono Pl",
            "city": "Beltsville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207053542",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fadila.kakaye@umm.edu",
            "affiliation": "N",
            "address_1": "3600 Pocono Pl",
            "city": "Beltsville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207053542",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "KSPRIMARYHEALTH.COM",
            "affiliation": "N",
            "endpointDescription": "WEBSITE",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4600 Powder Mill Rd Ste 450",
            "city": "Beltsville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207052686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "FADILA",
            "last_name": "ABOUDERMANE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• K Primary Health & Urgent Care LLC
• Franka Lekunga Kaba
• Christelle Kabanangi
• Grace Kaboh
• Florence Naula Kaingo, CNA, GNA, CMT
• Jasmeet Kalsi, PHARM.D
• Venetta G Kalu, LDN, CNS, ND
• Hafiatu Kamara
• Isatu Elashiah Kamara
• Sulaiman Kamara

• Primary Care Nurse Practitioner in Beltsville, MD
• Providers in Beltsville, MD by specialty
• Primary Care Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.