Active NPI
Ndubuisi Isaac Okoroafor, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Bowie, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- R194508
- Practice address
- 16410 Eddinger Rd
Bowie, MD 20716-6329 - Phone
- (301) 646-1481
- NPI assigned
- Mar 22, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R194508 | MD | Primary |
Addresses
Primary practice location
16410 Eddinger Rd
Bowie, MD 20716-6329
Mailing address
16410 Eddinger Rd
Bowie, MD 20716-6329
Phone (301) 646-1481
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
16701 Melford Blvd
Suite 400
Bowie, MD 20715-4411
Phone (301) 646-1481
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R194508 | MD | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kinara Health and Home Care Services LLC | Current | Accepting new patients | |
| Cona Healthcare Services LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Psychogeriatric Services LLC | Current | Accepting new patients | |
| Psych Associates of Maryland LLC | Current | Accepting new patients |
Locations
2027 Martin Luther King Jr Ave SE
Washington, DC 20020
Phone (202) 506-5529
7603 Georgia Ave NW
Ste 301
Washington, DC 20012
Phone (202) 506-5529
1831 Forest Dr
Ste A
Annapolis, MD 21401
Phone (410) 268-9400
16701 Melford Blvd
Ste 400
Bowie, MD 20715
Phone (202) 836-7776
4101 Old National Pike
Mount Airy, MD 21771
Phone (301) 829-0800
12073 Tech Rd
Ste B
Silver Spring, MD 20904
Phone (240) 396-5873
2331 York Rd
Ste 100
Timonium, MD 21093
120 Sister Pierre Dr
Ste 403
Towson, MD 21204
Organizations & group practices 4
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bowie, MD
- NPI 1942962006
DC, Psychiatric/Mental Health
-
- Psychologist
- Timonium, MD
- NPI 1891721981
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Washington, DC
- NPI 1255857405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553212800000",
"number": "1831659002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16410 EDDINGER RD",
"city": "BOWIE",
"state": "MD",
"postal_code": "207166329",
"telephone_number": "301-646-1481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16410 EDDINGER RD",
"city": "BOWIE",
"state": "MD",
"postal_code": "207166329",
"telephone_number": "301-646-1481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKOROAFOR",
"first_name": "NDUBUISI",
"middle_name": "ISAAC",
"credential": "PMHNP-BC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-03-22",
"last_updated": "2019-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "R194508",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2019; 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.