FATU KOROMA NP
NPI 1053955104
Nurse Practitioner - Psychiatric/Mental Health in Cheverly, MD

Active since November 01, 2019PECOS EnrolledAccepts Medicare Assignment
6490 LANDOVER RD, CHEVERLY, MD 20785(240) 437-2705 Get Directions Write a Review

NPPES record last updated: June 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 18, 2024, Nov 1, 2019 (2 updates tracked since 2019).

About Fatu Koroma Np NPPES

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

FATU KOROMA NP (NPI 1053955104) is an individual psychiatric/mental health provider in Cheverly, Maryland, licensed in Maryland (R187334) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1053955104
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameFATU KOROMACredential: NP
Location Address6490 LANDOVER RDCheverly, MD 20785-1443
Mailing Address106 Calumet CtGambrills, MD 21054-1060 · (240) 437-2705
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 1, 2019
Last NPPES UpdateJune 18, 20242 updates tracked since enumeration
NPPES CertifiedJune 18, 2024
NPI 1053955104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in MD · R187334
Also ListedNurse PractitionerTaxonomy 363L00000X · License R187334 (MD)
6490 LANDOVER RD, Cheverly, MD 20785

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Fatu Koroma Np 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.

PECOS PAC ID1153709274
PECOS Enrollment IDI20220602000413
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20785 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
6490 LANDOVER RD, SUITE D
CHEVERLY, MD 20785
Clinic/Center (Mental Health (Including Community Mental Health Center))
6490 LANDOVER RD
CHEVERLY, MD 20785
Counselor
6490 LANDOVER RD
CHEVERLY, MD 20785
Clinic/Center (Adolescent and Children Mental Health)
6490 LANDOVER RD, SUITE D
CHEVERLY, MD 20785
Nurse Practitioner (Family)
6490 LANDOVER RD, SUITE # G
CHEVERLY, MD 20785
Durable Medical Equipment & Medical Supplies
6490 LANDOVER RD, STE B ROOMS #5&6
CHEVERLY, MD 20785
Home Health
6490 LANDOVER RD, SUITE D ROOM #6
CHEVERLY, MD 20785
Social Worker (Clinical)
6490 LANDOVER RD, SUITE I
CHEVERLY, MD 20785

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 Fatu Koroma's NPI number?

The NPI number for Fatu Koroma is 1053955104. It was assigned to this individual provider in the NPPES registry on November 1, 2019.

Where is Fatu Koroma located?

Fatu Koroma practices at 6490 Landover Rd, Cheverly, MD 20785. The listed phone number is (240) 437-2705.

What is Fatu Koroma's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Fatu Koroma enrolled in Medicare?

Yes. Fatu Koroma 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.

When was this NPI record last updated?

The NPPES record for Fatu Koroma was last updated on June 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.