BASIL E FOMANKA
NPI 1013621010
Nurse Practitioner - Psychiatric/Mental Health in Riverdale, MD
About Basil E Fomanka NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BASIL E FOMANKA (NPI 1013621010) is an individual psychiatric/mental health provider in Riverdale, Maryland, licensed in Maryland (R198010) and active in the NPI registry since January 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Basil E Fomanka is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Basil Fomanka reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Riverdale, MD 20737
- Reassigned Medicare billing, District of Columbia enrollment
Houston, TX 77042
- Reassigned Medicare billing, Texas enrollment
- 4 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20737 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RIVERDALE, MD 20737
RIVERDALE, MD 20737
RIVERDALE, MD 20737
RIVERDALE, MD 20737
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Basil Fomanka's NPI number?
The NPI number for Basil Fomanka is 1013621010. It was assigned to this individual provider in the NPPES registry on January 13, 2023.
Where is Basil Fomanka located?
Basil Fomanka practices at 6200 Baltimore Ave 300-R9, Riverdale, MD 20737. The listed phone number is (443) 520-8138.
What is Basil Fomanka's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Basil Fomanka enrolled in Medicare?
Yes. Basil Fomanka is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Basil Fomanka's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Basil Fomanka reassigns Medicare benefits to 2 organizations: Gebaj Mental Health And Core Services Clinic, Inc (Riverdale, MD) and Ace Behavioral Health Services (Houston, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Basil Fomanka's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Basil Fomanka accept?
Health plans from Oscar Insurance Company and UnitedHealthcare list Basil Fomanka as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Basil Fomanka was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Basil E Fomanka · NPI 1013621010
Psychiatric/Mental Health physician in Riverdale, Maryland. Individual provider, active in the CMS NPPES registry since January 13, 2023.
## Identity
- **NPI:** 1013621010 (Entity type: Individual)
- **Enumerated:** January 13, 2023
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** R198010 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6200 BALTIMORE AVE, 300-R9, Riverdale, MD 20737-1054
- **Phone:** (443) 520-8138
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Gebaj Mental Health And Core Services Clinic, Inc (NPI 1922866011, Riverdale, MD); Ace Behavioral Health Services (NPI 1447884333, Houston, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** September 18, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1013621010) · Data from the CMS NPPES public registry.