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MAMADOU SADIO DIALLO FNP
NPI 1164005104
Nurse Practitioner - Family in Havre De Grace, MD

Active since April 28, 2021PECOS Enrolled
504 LEWIS ST, HAVRE DE GRACE, MD 21078(443) 502-5311 Get Directions Write a Review

NPPES record last updated: April 28, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mamadou Sadio Diallo Fnp NPPES

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

MAMADOU SADIO DIALLO FNP (NPI 1164005104) is an individual family provider in Havre De Grace, Maryland, licensed in Maryland (R221648) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1164005104
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMAMADOU SADIO DIALLOCredential: FNP
Location Address504 LEWIS STHavre De Grace, MD 21078-3420
Mailing Address1344 Tralee CirAberdeen, MD 21001-2642 · (646) 260-6327
Phone(443) 502-5311
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateApril 28, 2021
NPPES CertifiedApril 28, 2021
✔ NPI 1164005104 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
License✔ Licensed in MD · R221648
504 LEWIS ST, Havre De Grace, MD 21078
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mamadou Sadio Diallo Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5799123832
PECOS Enrollment IDI20240409001001
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 3

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.
235 services125 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.
221 services121 patients
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.
24 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21078 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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 5

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

CANDREA SMITH FNP-C
Family Medicine
504 LEWIS ST
HAVRE DE GRACE, MD 21078
Harford County (443) 502-5311
SADOWSKY SURGICAL ASSOCIATES
Surgery
504 LEWIS ST
HAVRE DE GRACE, MD 21078
Harford County (410) 939-0700
MD IMMEDIATE CARE LLC
Clinic/Center (Urgent Care)
504 LEWIS ST
HAVRE DE GRACE, MD 21078
Harford County (443) 502-5311
DR. VICENTE REYES CARAG JR. M.D.
Surgery
504 LEWIS ST
HAVRE DE GRACE, MD 21078
Harford County (410) 939-0700
MS. SHAUNYETTA CONYELLE KNIGHT CRNP
Nurse Practitioner (Family)
504 LEWIS ST
HAVRE DE GRACE, MD 21078
Harford County (443) 502-5311

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 Mamadou Diallo's NPI number?

The NPI number for Mamadou Diallo is 1164005104. It was assigned to this individual provider in the NPPES registry on April 28, 2021.

Where is Mamadou Diallo located?

Mamadou Diallo practices at 504 Lewis St, Havre De Grace, MD 21078. The listed phone number is (443) 502-5311.

What is Mamadou Diallo's specialty?

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

Is Mamadou Diallo enrolled in Medicare?

Yes. Mamadou Diallo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mamadou Diallo was last updated on April 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.