Mary Olubunmi Fakorede, MD

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

License

D0093734 Issued in MD

Practice address

5200 Eastern Ave FL W2
Baltimore, MD 21224-2757

Phone

(410) 550-2999

NPI assigned

Mar 26, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MD, DC, PA, VA4 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 4

Specialty

Family Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mdexchange@patientfirstclinics.com

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.

• Premier Medical Group of Maryland LLC

  • Primary Care Clinic/Center
  • Columbia, MD
  • NPI 1023791605
  Medicare reassignment NPD Authorized official
• Patient First Maryland Medical Group PLLC

  • Family Medicine Physician
  • Silver Spring, MD
  • NPI 1265866503

  DC

  Medicare reassignment NPD
• Howard University

  • Multi-Specialty Clinic/Center
  • Washington, DC
  • NPI 1033163597

  Family Medicine

  Medicare reassignment NPD
• Mary'S Center for Maternal and Child Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Washington, DC
  • NPI 1962520288
  Medicare reassignment NPD
• Openloop Healthcare Partners PC

  • General Practice Physician
  • Des Moines, IA
  • NPI 1245820661

  MD

  Medicare reassignment NPD
• Patient First Maryland Medical Group, PLLC

  • Family Medicine Physician
  • Glen Allen, VA
  • NPI 1962423632

  MD

  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  MD, PA

  Medicare reassignment NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  VA

  Medicare reassignment NPD
• Premier Medical Group of Maryland LLC

  • Primary Care Clinic/Center
  • Catonsville, MD
  • NPI 1972368587
  NPD Authorized official
• Patient First Maryland Medical Group PLLC

  • Family Medicine Physician
  • Waldorf, MD
  • NPI 1205087517
  NPD
• Patient First Maryland Medical Group PLLC

  • Family Medicine Physician
  • Capitol Heights, MD
  • NPI 1427807999
  NPD
• Marys Center for Maternal and Child Care Inc

  • Community/Retail Pharmacy
  • Washington, DC
  • NPI 1831635986
  NPD

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1922569714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 EASTERN AVE FL W2",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212242757",
            "telephone_number": "410-550-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 EASTERN AVE FL W2",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212242757",
            "telephone_number": "410-550-2999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2041 Georgia Ave NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200600001",
            "country_code": "US",
            "telephone_number": "202-865-6100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8105 Ritchie Hwy",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "MD",
            "postal_code": "211223905",
            "country_code": "US",
            "telephone_number": "443-573-0564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAKOREDE",
        "first_name": "MARY",
        "middle_name": "OLUBUNMI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-26",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0093734",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "MD",
            "license": "D0093734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MDExchange@patientfirstclinics.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "8105 Ritchie Hwy",
            "city": "Pasadena",
            "state": "MD",
            "country_code": "US",
            "postal_code": "211223905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Menucha Fakheri, SLP
• Naji Fakhouri, M.D.
• Amena Fakhri
• Carole Fakhry, MD
• Rosematu Alima-Lucia Fakondo
• Abayomi Fakunle
• Oluwaseun Omotomilola Falade, M.D
• Cheyenne Falat
• Nicole Falatko, MD
• Nikki Falay

• Addiction Medicine (Family Medicine) Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Addiction Medicine (Family Medicine) Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; 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.