Mercy O Fadoju, C.R.N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R133965 Issued in MD

Practice address

413 Commonwealth Ave Ste 7
Baltimore, MD 21228-3044

Phone

(410) 869-4602

Fax

(410) 869-4603

NPI assigned

Feb 29, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

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

Specialty

Nurse Practitioner

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Debobeth Medical CenterGroup PAC ID 0648518803, 2 clinicians

Faith Health Care CenterGroup PAC ID 4789857228, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Homecare Maryland, LLC Home health agency, Owings Mills, MD, CCN 217107

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Faith Health Care Center

  • Health Service Clinic/Center
  • Catonsville, MD
  • NPI 1487935417
  Medicare reassignment Care Compare group NPD Authorized official
• Debobeth Medical Center

  • Nurse Practitioner
  • Baltimore, MD
  • NPI 1871074096
  Medicare reassignment Care Compare group Authorized official
• Hope Health Systems, Inc

  • Community/Behavioral Health Agency
  • Baltimore, MD
  • NPI 1053445171
  Medicare reassignment
• Debobeth Medical Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
  • NPI 1225651433
  NPD (past) Authorized official
• Debobeth Medical Center

  • Addiction Psychiatry Physician
  • Baltimore, MD
  • NPI 1255954400
  NPD (past) Authorized official
• Debobeth Medical Center

  • Behavioral Neurology & Neuropsychiatry Physician
  • Baltimore, MD
  • NPI 1285255935
  NPD (past) Authorized official
• Debobeth Medical Center

  • Behavioral Neurology & Neuropsychiatry Physician
  • Baltimore, MD
  • NPI 1447873690
  NPD (past) Authorized official
• Debobeth Medical Center

  • Psychiatry Physician
  • Baltimore, MD
  • NPI 1508489758
  NPD (past) Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Homecare Maryland, LLC

  • Home Health Agency
  • Owings Mills, MD
  • NPI 1144400805
  Care Compare affiliation

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549843200000",
    "number": "1962671313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2144 CHANTILLA RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212283703",
            "telephone_number": "443-904-5129",
            "fax_number": "410-869-4603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 COMMONWEALTH AVE STE 7",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212283044",
            "telephone_number": "410-869-4602",
            "fax_number": "410-869-4603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3107 Erdman Ave",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212131719",
            "country_code": "US",
            "telephone_number": "410-869-4602",
            "fax_number": "410-869-4603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FADOJU",
        "first_name": "MERCY",
        "middle_name": "O",
        "credential": "C.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-29",
        "last_updated": "2019-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R133965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "643706",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn K. Fader, RPH
• Paul Fader, R.PH.
• Raycor Faderugao, CRNP
• Emmanuel Olutayo Fadiran, R.PH., PH.D.
• Deborah Fadoju
• Jeffrey J Fadrowski, M.D.
• Kristine Dallas Fafinski
• Alyson Lynn Fagan, M.S., CCC-SLP
• Lior Fagan
• Margaret Fagan, MD

• Family Nurse Practitioner in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; 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.