Active NPI
Triibe Medical LLC
- Family Medicine Physician
- Largo, MD
National Provider Identifier
1962047159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- TRIIBE MEDICAL LLC
- Practice address
- 9500 Medical Center Dr Ste 105
Largo, MD 20774-3703 - Phone
- (301) 615-4133
- Fax
- (240) 245-2918
- NPI assigned
- Nov 12, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Uloma C Ibe, MD
- Title
- Owner
- Phone
- (202) 704-3010
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
9500 Medical Center Dr Ste 105
Largo, MD 20774-3703
Mailing address
PO Box 27996
Belfast, ME 04915-2031
Phone (301) 615-4133
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 585019301 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
9200 Corporate Blvd
Ste 120
Rockville, MD 20850
Interoperability endpoints
- https://api.platform.athenahealth.com/22336/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573516800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1622505600000",
"number": "1962047159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27996",
"city": "BELFAST",
"state": "ME",
"postal_code": "049152031",
"telephone_number": "301-615-4133",
"fax_number": "240-245-2918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9500 MEDICAL CENTER DR STE 105",
"city": "LARGO",
"state": "MD",
"postal_code": "207743703",
"telephone_number": "301-615-4133",
"fax_number": "240-245-2918"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRIIBE MEDICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-12",
"last_updated": "2021-06-01",
"certification_date": "2021-06-01",
"status": "A",
"authorized_official_last_name": "IBE",
"authorized_official_first_name": "ULOMA",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "202-704-3010",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "585019301",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Largo, MD
- Transitions Counseling and Mentoring Services Inc.
- Transitions Counseling and Mentoring Services Inc.
- Transitions Counseling and Mentoring Services Inc.
- Timothy C Traylor, LMSW
- TRH Family Solutions LLC
- Lynn S Trombka, MD
- Chun Ming Tseng, MD
- Regina Jasmine Tucker, PMH,CNS,BC
- Zahidah Marie Tunkara, APRN, CNM
- Ariel Shardae Tunstall
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.