Individual provider Active NPI

Chidi Oriaku, CRNP-PMH

  • Psychiatric/Mental Health Nurse Practitioner
  • Upper Marlboro, MD
National Provider Identifier
1972354884
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R199712 Issued in MD
Practice address
3621 Pentland Hills Dr
Upper Marlboro, MD 20774-9236
Phone
(240) 460-2211
NPI assigned
Mar 28, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X R199712 MD Primary

Addresses

Primary practice location

3621 Pentland Hills Dr
Upper Marlboro, MD 20774-9236

Mailing address

3621 Pentland Hills Dr
Upper Marlboro, MD 20774-9236
Phone (240) 460-2211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240718004980 DC Practitioner - Nurse Practitioner 4082150693 Reassigns benefits to 2 organizations
I20240718005012 MD Practitioner - Nurse Practitioner 4082150693 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3621 Pentland Hills Dr
Upper Marlboro, MD 20774-9236
Phone (240) 460-2211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R199712MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Comfort Health Outpatient LLC Single Specialty CurrentSince Jul 11, 2024 Accepting new patients
Toller Enterprises LLC Single Specialty CurrentSince May 6, 2024 Accepting new patients
Toller Enterprises LLC Single Specialty CurrentSince May 6, 2024 Accepting new patients

Locations

1500 K St NW
Ste 200
Washington, DC 20005
Phone (667) 207-3552

2232 E Monument St
Baltimore, MD 21205
Phone (667) 207-3552

3210 Powder Mill Rd
Hyattsville, MD 20783
Phone (301) 937-3939

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1972354884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 PENTLAND HILLS DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207749236",
            "telephone_number": "240-460-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3621 PENTLAND HILLS DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207749236",
            "telephone_number": "240-460-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORIAKU",
        "first_name": "CHIDI",
        "credential": "CRNP-PMH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R199712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

Verify at the official NPI Registry.