Active NPI
Nnenna Joy Maduforo, D.O.
- Obstetrics & Gynecology Physician
- Alexandria, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 0102205042
- Practice address
- 3000 Potomac Ave
Alexandria, VA 22305-3084 - Phone
- (703) 721-6000
- Fax
- (703) 721-6721
- NPI assigned
- Jul 2, 2013
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 0102205042 | VA | Primary |
Addresses
Primary practice location
3000 Potomac Ave
Alexandria, VA 22305-3084
Mailing address
3000 Potomac Ave
Alexandria, VA 22305-3084
Phone (703) 430-8844
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggateways | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
110 Hospital Rd
Suite 203
Prince Frederick, MD 20678-4045
Phone (410) 414-4740
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.48 of 100
- Quality
- 74.54
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 81.24
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0102205042 | VA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Maryland Community Medical Group, Inc. | Current | Accepting new patients | |
| Calverthealth Medical Group, LLC | Current | Accepting new patients | |
| Calverthealth Medical Group, LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Calverthealth Medical Group, LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| University of Maryland Community Medical Group, Inc. | Current | Accepting new patients |
Locations
2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432
301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565
8924 Chesapeake Ave
North Beach, MD 20714
Phone (410) 257-7279
110 Hospital Rd
Ste 310
Prnc Frederck, MD 20678
Phone (410) 414-4740
110 Hospital Rd
Ste 203
Prnc Frederck, MD 20678
Phone (410) 414-4740
Interoperability endpoints
- nmaduforo774764@soc.inova.org
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Prince Frederick, MD
- NPI 1386871390
Obstetrics & Gynecology
-
- Family Medicine Physician
- Baltimore, MD
- NPI 1477530624
-
- Family Medicine Physician
- Solomons, MD
- NPI 1396534418
Obstetrics & Gynecology
-
- Internal Medicine Physician
- Prince Frederick, MD
- NPI 1558108472
-
- Psychiatry Physician
- La Plata, MD
- NPI 1679393854
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624665600000",
"number": "1811337025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 POTOMAC AVE",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223053084",
"telephone_number": "703-430-8844",
"fax_number": "703-430-3777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 POTOMAC AVE",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223053084",
"telephone_number": "703-721-6000",
"fax_number": "703-721-6721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADUFORO",
"first_name": "NNENNA",
"middle_name": "JOY",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-02",
"last_updated": "2021-06-26",
"certification_date": "2021-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "VA",
"license": "0102205042",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggateways",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "3000 Potomac Ave",
"city": "Alexandria",
"state": "VA",
"country_code": "US",
"postal_code": "223053084",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2021; 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.