PETER OLUSOLA IGE
NPI 1164060943
Nurse Practitioner - Psychiatric/Mental Health in Baltimore, MD

Active since December 12, 2019PECOS EnrolledAccepts Medicare Assignment
5411 OLD FREDERICK RD, BALTIMORE, MD 21229(410) 762-8945 Get Directions Write a Review

NPPES record last updated: December 12, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Peter Olusola Ige NPPES

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

PETER OLUSOLA IGE (NPI 1164060943) is an individual psychiatric/mental health provider in Baltimore, Maryland, licensed in Maryland (R142898) and active in the NPI registry since December 2019. He is enrolled in Medicare PECOS and is a graduate of Other (1981).

NPPES Registry Identity

NPI1164060943
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NamePETER OLUSOLA IGE
Location Address5411 OLD FREDERICK RDBaltimore, MD 21229-2195
Mailing Address12 Rozina CtOwings Mills, MD 21117-1318 · (410) 446-1294
Sole ProprietorNo
Medical School CMSOtherGraduated 1981
Enumeration DateDecember 12, 2019
✔ NPI 1164060943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MD · R142898
5411 OLD FREDERICK RD, Baltimore, MD 21229

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

Peter Olusola Ige 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 ID1557784543
PECOS Enrollment IDI20200709001229
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Peter Ige reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health (Including Community Mental Health Center)
2225 N CHARLES ST
Baltimore, MD 21218
  • Reassigned Medicare billing, Maryland enrollment
  • 143 clinicians in this Medicare group
Mental Health
7939 HONEYGO BLVD STE 224
Nottingham, MD 21236
  • Reassigned Medicare billing, Maryland enrollment
  • 8 clinicians in this Medicare group
Addiction Medicine
178 THOMAS JOHNSON DR STE 103
Frederick, MD 21702
  • Reassigned Medicare billing, Maryland 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.

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
534 services141 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21229 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 13

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

Internal Medicine
5411 OLD FREDERICK RD, SUITE 18
BALTIMORE, MD 21229
Nurse Practitioner (Psychiatric/Mental Health)
5411 OLD FREDERICK RD
BALTIMORE, MD 21229
Podiatrist
5411 OLD FREDERICK RD, SUITE #10
BALTIMORE, MD 21229
Family Medicine
5411 OLD FREDERICK RD, SUITE 18
BALTIMORE, MD 21229
Social Worker (Clinical)
5411 OLD FREDERICK RD
BALTIMORE, MD 21229
Physical Therapist
5411 OLD FREDERICK RD, #16
BALT, MD 21229
Internal Medicine (Gastroenterology)
5411 OLD FREDERICK RD, SUITE 11
BALTIMORE, MD 21229
Home Health
5411 OLD FREDERICK RD, SUITE 2
BALTIMORE, MD 21229

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 Peter Ige's NPI number?

The NPI number for Peter Ige is 1164060943. It was assigned to this individual provider in the NPPES registry on December 12, 2019.

Where is Peter Ige located?

Peter Ige practices at 5411 Old Frederick Rd, Baltimore, MD 21229. The listed phone number is (410) 762-8945.

What is Peter Ige's specialty?

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

Is Peter Ige enrolled in Medicare?

Yes. Peter Ige 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 Peter Ige's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peter Ige reassigns Medicare benefits to 3 organizations: Mosaic Community Services, Inc (Baltimore, MD), Harmony Counceling Center Inc (Nottingham, MD) and Paraview Behavioral Health (Frederick, MD). 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 Peter Ige's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Peter Ige was last updated on December 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.