Active NPI
Muideen Shittu
- Case Manager/Care Coordinator
- Washington, DC
National Provider Identifier
1972201408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 1615 Rhode Island Ave NE
Washington, DC 20018-1802 - Phone
- (202) 301-5200
- NPI assigned
- Feb 23, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
1615 Rhode Island Ave NE
Washington, DC 20018-1802
Mailing address
2811 Pennsylvania Ave SE
Washington, DC 20020-3865
Phone (202) 894-6811
Other practice location 1
2501 Good Hope Rd SE
Washington, DC 20020-3011
Phone (202) 866-7505
Other practice location 2
2811 Pennsylvania Ave SE
Washington, DC 20020-3865
Phone (202) 894-6811
Other practice location 3
3109 Martin Luther King Jr Ave SE
Washington, DC 20032-1573
Phone (202) 800-4433
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716249600000",
"number": "1972201408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2811 PENNSYLVANIA AVE SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200203865",
"telephone_number": "202-894-6811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 RHODE ISLAND AVE NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200181802",
"telephone_number": "202-301-5200"
}
],
"practiceLocations": [
{
"address_1": "2501 Good Hope Rd SE",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200203011",
"country_code": "US",
"telephone_number": "202-866-7505",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2811 Pennsylvania Ave SE",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200203865",
"country_code": "US",
"telephone_number": "202-894-6811",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3109 Martin Luther King Jr Ave SE",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200321573",
"country_code": "US",
"telephone_number": "202-800-4433",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHITTU",
"first_name": "MUIDEEN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-02-23",
"last_updated": "2024-05-21",
"certification_date": "2024-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.