Individual provider Active NPI

Muniratu Fabode, NP

  • Family Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1851055065
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R131125 Issued in MD
Practice address
1501 Division St
Baltimore, MD 21217-3121
Phone
(410) 383-8300
Fax
(410) 383-3160
NPI assigned
Oct 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R131125 MD Primary

Addresses

Primary practice location

1501 Division St
Baltimore, MD 21217-3121

Mailing address

1501 Division St
Baltimore, MD 21217-3121
Phone (410) 383-8300

Other identifiers 1

IdentifierTypeStateIssuer
321153300MedicaidMD

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220211000022 MD Practitioner - Nurse Practitioner 5092108282 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Health Care IncGroup PAC ID 0446258487, 57 clinicians

Practice addresses (Care Compare)

1501 Division St
Baltimore, MD 21217-3121
Phone (410) 383-8300

Hospital & facility affiliations

  • Mercy Medical Center Inc Hospital, Baltimore, MD, CCN 210008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R131125MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Umms Ambulatory Care LLC CurrentSince Jan 24, 2022 Accepting new patients
Total Health Care Inc CurrentSince Mar 17, 2023 Accepting new patients
Umms Ambulatory Care LLC CurrentSince Jan 24, 2022 Accepting new patients
Total Health Care Inc. CurrentSince Mar 17, 2023 Accepting new patients
Total Health Care Inc Current Accepting new patients
Metro Infectious Disease Consultants, LLC CurrentSince Oct 5, 2024 Accepting new patients
Metro Infectious Disease Consultants LLC CurrentSince Oct 5, 2024 Accepting new patients
Umms Ambulatory Care LLC Current Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Aug 13, 2024 Accepting new patients
Dispatchhealth-Arizona CurrentSince Oct 1, 2024 Accepting new patients
Total Health Care Inc Past Accepting new patients

Locations

901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201

1910 Towne Centre Blvd
Ste 250
Annapolis, MD 21401
Phone (202) 596-8891

1501 W Saratoga St
Baltimore, MD 21223
Phone (410) 383-7197

3700 Koppers St
Ste 150
Baltimore, MD 21227
Phone (202) 793-6541

1111 Washington Blvd
Baltimore, MD 21230
Phone (410) 783-1859

1501 Division St
Baltimore, MD 21217
Phone (410) 735-5390

2400 Kirk Ave
Baltimore, MD 21218
Phone (410) 243-1800

6700 Alexander Bell Dr
Ste 261
Columbia, MD 21046
Phone (202) 793-6541

8 Denton Plz
Denton, MD 21629
Phone (443) 606-2300

1730 Merritt Blvd
Dundalk, MD 21222
Phone (410) 282-2756

110 Baughmans Ln
Ste 200
Frederick, MD 21702
Phone (301) 624-0024

808 Landmark Dr
Ste 122
Glen Burnie, MD 21061
Phone (410) 760-3588

2288 Blue Water Blvd
Ste 440
Odenton, MD 21113
Phone (410) 674-7403

2405 York Rd
Ste 201
Timonium, MD 21093
Phone (240) 332-4048

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GJFJBD

Organizations & group practices 11

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1851055065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 DIVISION ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212173121",
            "telephone_number": "410-383-8300",
            "fax_number": "410-383-3160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 DIVISION ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212173121",
            "telephone_number": "410-383-8300",
            "fax_number": "410-383-3160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABODE",
        "first_name": "MUNIRATU",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-25",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R131125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "321153300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.