Individual provider Active NPI

Fatoumata Ba

  • Family Nurse Practitioner
  • Laurel, MD
National Provider Identifier
1881291870
Registry record updated Oct 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0314991 Issued in MD
Practice address
9900 Washington Blvd N Ste L
Laurel, MD 20723-1972
Phone
(301) 776-4996
NPI assigned
Oct 3, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2020

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 0314991 MD Primary

Addresses

Primary practice location

9900 Washington Blvd N Ste L
Laurel, MD 20723-1972

Mailing address

1613 Scotch Pine Dr
Bowie, MD 20721-2789
Phone (202) 200-5492

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20240215001813 DC Practitioner - Nurse Practitioner 6709220999 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maryland Cardiology Associates LLCGroup PAC ID 8527029743, 9 clinicians

Practice addresses (Care Compare)

7474 Greenway Ctr Dr
Suite 1100
Greenbelt, MD 20770-3500
Phone (301) 441-3050

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0314991MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Health and Wellness LLC CurrentSince Oct 11, 2020 Accepting new patients
Maryland Cardiology Associates, LLC CurrentSince Dec 4, 2023 Accepting new patients

Locations

7474 Greenway Center Dr
Ste 1100
Greenbelt, MD 20770
Phone 3014413050138

1450 Mercantile Ln
Ste 151
Uppr Marlboro, MD 20774
Phone (301) 322-8014

Organizations & group practices 2

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": "1601683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601683200000",
    "number": "1881291870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 SCOTCH PINE DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207212789",
            "telephone_number": "202-200-5492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 WASHINGTON BLVD N STE L",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207231972",
            "telephone_number": "301-776-4996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BA",
        "first_name": "FATOUMATA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-03",
        "last_updated": "2020-10-03",
        "certification_date": "2020-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "0314991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

Verify at the official NPI Registry.