Individual provider Active NPI

Ndubuisi Isaac Okoroafor, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bowie, MD
National Provider Identifier
1831659002
Registry record updated Mar 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R194508 Issued in MD
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

Updated by the provider on Mar 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, 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

Enrollment IDStateProvider typePAC IDDetails
I20190610000583 DC Practitioner - Nurse Practitioner 4385977214 Reassigns benefits to 3 organizations
I20190610001791 MD Practitioner - Nurse Practitioner 4385977214 Reassigns benefits to 2 organizations

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

LicenseStateTypeSpecialty
R194508MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kinara Health and Home Care Services LLC CurrentSince Nov 25, 2019 Accepting new patients
Cona Healthcare Services LLC Psychiatric/Mental Health CurrentSince Nov 1, 2021 Accepting new patients
Psychogeriatric Services LLC CurrentSince May 20, 2019 Accepting new patients
Psych Associates of Maryland LLC CurrentSince Dec 21, 2020 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.

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

Verify at the official NPI Registry.