MOHAMED MAADAKIN KOROMA
NPI 1104211523
Nurse Practitioner - Gerontology in Washington, DC

Active since April 02, 2015PECOS EnrolledAccepts Medicare Assignment
1310 SOUTHERN AVE SE, WASHINGTON, DC 20032(202) 574-5323(202) 574-5225 Get Directions Write a Review

NPPES record last updated: November 29, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 29, 2022, Jun 11, 2021 (2 updates tracked since 2021).

About Mohamed Maadakin Koroma NPPES

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

MOHAMED MAADAKIN KOROMA (NPI 1104211523) is an individual gerontology provider in Washington, District Of Columbia, licensed in District Of Columbia (RN1009274) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in Olney, and is a graduate of University Of Maryland School Of Medicine (2006).

NPPES Registry Identity

NPI1104211523
Entity TypeIndividualMale
Primary Taxonomy363LG0600X
Provider Legal NameMOHAMED MAADAKIN KOROMA
Location Address1310 SOUTHERN AVE SEWashington, DC 20032-4623
Mailing Address22 Dutchess CtOlney, MD 20832-1727 · (301) 740-0020
Fax(202) 574-5225
Sole ProprietorNo
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 2006
Enumeration DateApril 2, 2015
Last NPPES UpdateNovember 29, 20222 updates tracked since enumeration
NPPES CertifiedNovember 29, 2022
NPI 1104211523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in DC · RN1009274
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License RN1009274 (DC)
1310 SOUTHERN AVE SE, Washington, DC 20032

Secondary Practice Location 1

Location 122 Dutchess CtOlney, MD 20832-1727 · Phone (301) 740-0020

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

Mohamed Maadakin Koroma 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 ID6709152739
PECOS Enrollment IDI20180712002596, I20250717003128
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
792 services178 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
358 services95 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
61 services49 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
18 services11 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20032 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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tracheostomy, inner cannula A4623
DME-Orthotic Devices · category DF000N
1 supplier13 claims506 services$6.39 avg. paid by Medicare
Tracheostomy care kit for established tracheostomy A4629
DME-Orthotic Devices · category DF000N
1 supplier13 claims387 services$4.53 avg. paid by Medicare
Tracheostomy tube collar/holder, each A7526
DME-Orthotic Devices · category DF000N
1 supplier13 claims104 services$3.31 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Public Health or Welfare
1310 SOUTHERN AVE SE, SUITE G-082
WASHINGTON, DC 20032
Surgery
1310 SOUTHERN AVE SE
WASHINGTON, DC 20032
Physician Assistant (Medical)
1310 SOUTHERN AVE SE
WASHINGTON, DC 20032
Nurse Practitioner (Pediatrics)
1310 SOUTHERN AVE SE
WASHINGTON, DC 20032
Emergency Medicine
1310 SOUTHERN AVE SE
WASHINGTON, DC 20032
Emergency Medicine
1310 SOUTHERN AVE SE
WASHINGTON, DC 20032
Hospitalist
1310 SOUTHERN AVE SE
WASHINGTON, DC 20032
Internal Medicine
1310 SOUTHERN AVE SE
WASHINGTON, DC 20032

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 Mohamed Koroma's NPI number?

The NPI number for Mohamed Koroma is 1104211523. It was assigned to this individual provider in the NPPES registry on April 2, 2015.

Where is Mohamed Koroma located?

Mohamed Koroma practices at 1310 Southern Ave SE, Washington, DC 20032. The listed phone number is (202) 574-5323.

What is Mohamed Koroma's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Mohamed Koroma enrolled in Medicare?

Yes. Mohamed 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 Mohamed Koroma was last updated on November 29, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.