PINNACLE FAMILY CARE PRACTICE
NPI 1053066936
Nurse Practitioner - Family in Baltimore, MD

Active since February 18, 2022
5835 YORK RD, BALTIMORE, MD 21212(443) 912-5077(410) 835-7865 Get Directions Write a Review

NPPES record last updated: November 6, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 6, 2022, Feb 18, 2022 (2 updates tracked since 2022).

About Pinnacle Family Care Practice NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PINNACLE FAMILY CARE PRACTICE (NPI 1053066936) is a healthcare organization registered as a family in Baltimore, Maryland and active in the NPI registry since February 2022. The organization lists Adenike A. Popoola, Managing Director, as its authorized official.

NPPES Registry Identity

NPI1053066936
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NamePINNACLE FAMILY CARE PRACTICE
Location Address5835 YORK RDBaltimore, MD 21212-3612
Mailing Address10220 S Dolfield Rd Ste 105Owings Mills, MD 21117-3660 · (443) 912-5077 · Fax (410) 835-7865
Fax(410) 835-7865
Organization SubpartNo
Authorized OfficialAdenike A. PopoolaManaging Director · (443) 527-1497
Enumeration DateFebruary 18, 2022
Last NPPES UpdateNovember 6, 20222 updates tracked since enumeration
NPPES CertifiedNovember 6, 2022
✔ NPI 1053066936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
5835 YORK RD, Baltimore, MD 21212

Other Names 1

Doing Business AsPinnacle Family Care Practice

Other Identifiers 2

Medicaid622039800MD
OtherR224315MD · Family Medicine

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pinnacle Family Care Practice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Pinnacle Family Care Practice, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1750054508
3404 LYNNE HAVEN DR
Baltimore, MD 21244
(443) 527-1497
✔ PECOS✔ Accepts Medicare8.0 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Pinnacle Family Care Practice's NPI number?

The NPI number for Pinnacle Family Care Practice is 1053066936. It was assigned to this organization in the NPPES registry on February 18, 2022.

Where is Pinnacle Family Care Practice located?

Pinnacle Family Care Practice is located at 5835 York Rd, Baltimore, MD 21212. The listed phone number is (443) 912-5077.

What is Pinnacle Family Care Practice's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Pinnacle Family Care Practice enrolled in Medicare?

Yes. Pinnacle Family Care Practice is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pinnacle Family Care Practice?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Pinnacle Family Care Practice. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Pinnacle Family Care Practice was last updated on November 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.