Individual provider Active NPI

Kamau Ebire Dillon Foderingham

  • Diagnostic Radiology Physician
  • Rockville, MD
National Provider Identifier
1912148917
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
D80123 Issued in MD
Practice address
9901 Medical Center Dr
Rockville, MD 20850-3357
Phone
(301) 212-4264
Fax
(301) 212-4266
NPI assigned
Mar 20, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X D80123 MD Primary

Addresses

Primary practice location

9901 Medical Center Dr
Rockville, MD 20850-3357

Mailing address

2534 Marengo St
Apt a
New Orleans, LA 70115-6210
Phone (504) 905-7013

Other practice location 1

2534 Marengo St
Apt A
New Orleans, LA 70115-6210
Phone (504) 905-7013

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, GA, FL, KY, MI6 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20151030001653 DC Practitioner - Diagnostic Radiology 3375761927 Reassigns benefits to 2 organizations
I20220504000510 MD Practitioner - Diagnostic Radiology 3375761927 Reassigns benefits to 1 organization
I20230119001692 GA Practitioner - Diagnostic Radiology 3375761927 Reassigns benefits to 6 organizations
I20260212000013 FL Practitioner - Diagnostic Radiology 3375761927 Reassigns benefits to 1 organization
I20260519002899 KY Practitioner - Diagnostic Radiology 3375761927 Reassigns benefits to 1 organization
I20260612000116 MI Practitioner - Diagnostic Radiology 3375761927 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Physician Group IncGroup PAC ID 2365679057, 953 clinicians
Northside Radiology Associates LLCGroup PAC ID 4486555398, 381 clinicians
St Paul Place Specialists, Inc.Group PAC ID 7719882943, shared by 3 NPIs, 332 clinicians

Practice addresses (Care Compare)

Atlanta, GA 30308
Phone (800) 737-5654

1000 Johnson Ferry Rd
Atlanta, GA 30342-1606
Phone (404) 662-2438

301 Saint Paul St
Baltimore, MD 21202-2102
Phone (410) 659-2800

692 Myrtle St NE
Atlanta, GA 30308-1447
Phone (410) 332-9286

Hospital & facility affiliations

  • Adventhealth Tampa Hospital, Tampa, FL, CCN 100173
  • Adventhealth Wesley Chapel Hospital, Wesley Chapel, FL, CCN 100319
  • Adventhealth Zephyrhills Hospital, Zephyrhills, FL, CCN 100046
  • Mercy Medical Center Inc Hospital, Baltimore, MD, CCN 210008
  • Adventhealth North Pinellas Hospital, Tarpon Springs, FL, CCN 100055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Sound Health Corporation Current Accepting new patients
St. Paul Place Specialists, Inc. Current Accepting new patients
Medical Faculty Associates, Inc CurrentSince Sep 15, 2015 Accepting new patients
Northside Radiology Associates LLC Diagnostic Radiology CurrentSince Sep 18, 2023 Accepting new patients
St Paul Place Specialists Inc Diagnostic Radiology CurrentSince Feb 1, 2022 Accepting new patients
Blackwell Physicians, LLC Diagnostic Radiology CurrentSince Nov 1, 2021 Accepting new patients
Coastal Radiology Associates, PLLC Diagnostic Radiology CurrentSince Feb 14, 2024 Accepting new patients
Florida Hospital Physician Group Inc CurrentSince Oct 4, 2025 Accepting new patients
Radiology Associates of North Carolina PC Diagnostic Radiology CurrentSince Apr 15, 2025 Accepting new patients
Greensboro Radiology, PA Diagnostic Radiology CurrentSince Jun 23, 2024 Accepting new patients
Henrico Surgical Specialists, LLC Past Accepting new patients

Locations

900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750

2021 K St NW
Ste 600
Washington, DC 20006
Phone (202) 741-3387

2521 Del Prado Blvd N
Cape Coral, FL 33909
Phone (239) 242-1357

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

2200 Vernon St
Lagrange, GA 30240

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

301 Saint Paul St
Baltimore, MD 21202
Phone (410) 385-4930

9601 Blackwell Rd
Ste 150
Rockville, MD 20850
Phone (240) 864-1100

9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000

Interoperability endpoints

  • Direct secure messaging: kfoderingham@direct.nshcorp.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 6

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": "1237507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1912148917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2534 MARENGO ST",
            "address_2": "APT A",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701156210",
            "telephone_number": "504-905-7013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9901 MEDICAL CENTER DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503357",
            "telephone_number": "301-212-4264",
            "fax_number": "301-212-4266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2534 Marengo St",
            "address_2": "Apt A",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701156210",
            "country_code": "US",
            "telephone_number": "504-905-7013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FODERINGHAM",
        "first_name": "KAMAU",
        "middle_name": "EBIRE DILLON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-20",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D80123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.