Bakoh Martilda Ayukndang, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0037685 Issued in OH

Practice address

6125 N Main St
Dayton, OH 45415-3110

Phone

(937) 278-8211

NPI assigned

Sep 30, 2024

Last updated

Sep 30, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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 OH

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, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Complexcare Medical Group Midwest M PLLCGroup PAC ID 1355858630, 87 clinicians

Exceptional Care Services LLCGroup PAC ID 5799175741, 36 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, 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.

• Complexcare Medical Group Midwest M PLLC

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1528851607

  OH

  Medicare reassignment Care Compare group NPD
• Exceptional Care Services LLC

  • Primary Care Clinic/Center
  • Lexington, KY
  • NPI 1245900794

  Family, OH

  Medicare reassignment Care Compare group NPD
• Provider Partners Care Management LP

  • Nurse Practitioner
  • Columbia, MD
  • NPI 1013348028

  OH

  Medicare reassignment NPD
• Care Choice Solutions LLC

  • Primary Care Nurse Practitioner
  • Cincinnati, OH
  • NPI 1215865720
  NPD Authorized official
• Woundworks LLC

  • Nurse Practitioner
  • Lakewood, NJ
  • NPI 1093303273

  OH

  Medicare reassignment
• Exceptional Care Services LLC

  • Nurse Practitioner
  • Lexington, KY
  • NPI 1699437673
  NPD (past)

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1831917897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6125 N MAIN ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454153110",
            "telephone_number": "937-278-8211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6125 N MAIN ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454153110",
            "telephone_number": "937-278-8211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "838 Willowbrook Dr",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "OH",
            "postal_code": "450501755",
            "country_code": "US",
            "telephone_number": "331-250-2493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AYUKNDANG",
        "first_name": "BAKOH",
        "middle_name": "MARTILDA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0037685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Catherine Ayers, AU.D.
• Alan Ayette, RPH
• Eseoghene Ayisire, MBCHB, MD
• Ayla Home Health Care LLC
• Makayla Ayres, MD, RESIDENT/TRAINEE
• Mirna Samir Azer, D.D.S.
• Andrew Aziz, PA-S2
• Zuhra Aziz
• Ramzieh Azmeh, M.D.
• Roua Azmeh, MD

• Family Nurse Practitioner in Dayton, OH
• Providers in Dayton, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.