Active NPI
Folorunso Ibraheem, DNP, MBBS, CFNP
- Family Nurse Practitioner
- Hyattsville, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP 9193808
- Practice address
- 7760 Landover Rd
Hyattsville, MD 20785-2135 - Phone
- (305) 776-9911
- Fax
- (301) 798-9901
- NPI assigned
- Apr 21, 2009
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP 9193808 | FL | Primary |
Addresses
Primary practice location
7760 Landover Rd
Hyattsville, MD 20785-2135
Mailing address
2312 Parkside Dr
Bowie, MD 20721-4223
Phone (302) 985-2099
Other practice location 1
2312 Parkside Dr
Bowie, MD 20721-4223
Phone (305) 776-9911
Other practice location 2
100 S Main St
Greensboro, MD 21639-1634
Phone (410) 482-4434
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| I165-240-52-387-0 | Other | FL | DRIVER LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 9193808 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Winslow Indian Health Care Center, Inc | Current | Accepting new patients | |
| Grassroots Health Care Inc | Current | Accepting new patients | |
| Health on Wheel Corporation | Current | Accepting new patients | |
| Dilkon Medical Center | Current | Accepting new patients | |
| Winslow Indian Health Care Center, Inc | Current | Accepting new patients | |
| Winslow Indian Health Care Center, Inc | Current | Accepting new patients |
Locations
500 Indiana Ave
Winslow, AZ 86047
7760 Landover Rd
Landover, MD 20785
Phone (301) 825-4059
Organizations & group practices 6
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.
-
- Federal Public Health Clinic/Center
- Winslow, AZ
- NPI 1184729493
TX
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Landover, MD
- NPI 1437957974
-
- Pain Medicine Physician
- Greensboro, MD
- NPI 1437928181
-
- Federal Public Health Clinic/Center
- Dilkon, AZ
- NPI 1306016126
-
dba Winslow Indian Health Care Ambulance
- Land Ambulance
- Winslow, AZ
- NPI 1477827368
-
dba Leupp Health Station
- Federal Public Health Clinic/Center
- Leupp, AZ
- NPI 1760652580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734912000000",
"number": "1861636979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2312 PARKSIDE DR",
"city": "BOWIE",
"state": "MD",
"postal_code": "207214223",
"telephone_number": "302-985-2099",
"fax_number": "949-862-8021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7760 LANDOVER RD",
"city": "HYATTSVILLE",
"state": "MD",
"postal_code": "207852135",
"telephone_number": "305-776-9911",
"fax_number": "301-798-9901"
}
],
"practiceLocations": [
{
"address_1": "2312 Parkside Dr",
"address_purpose": "LOCATION",
"city": "Bowie",
"state": "MD",
"postal_code": "207214223",
"country_code": "US",
"telephone_number": "305-776-9911",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 S Main St",
"address_purpose": "LOCATION",
"city": "Greensboro",
"state": "MD",
"postal_code": "216391634",
"country_code": "US",
"telephone_number": "410-482-4434",
"fax_number": "949-862-8021",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IBRAHEEM",
"first_name": "FOLORUNSO",
"credential": "DNP, MBBS, CFNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-21",
"last_updated": "2024-12-23",
"certification_date": "2024-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP 9193808",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVER LICENSE",
"identifier": "I165-240-52-387-0",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hyattsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.