RAPHAEL GIKONYO PHMNP-BC
NPI 1205458536
Nurse Practitioner - Psychiatric/Mental Health in Timonium, MD

Active since May 08, 2020PECOS EnrolledAccepts Medicare Assignment
1205 YORK RD STE 14, TIMONIUM, MD 21093(410) 757-2077 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 7, 2025, May 9, 2020 (2 updates tracked since 2020).

About Raphael Gikonyo Phmnp-bc NPPES

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

RAPHAEL GIKONYO PHMNP-BC (NPI 1205458536) is an individual psychiatric/mental health provider in Timonium, Maryland, licensed in Maryland (R216660) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1205458536
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameRAPHAEL GIKONYOCredential: PHMNP-BC
Location Address1205 YORK RD STE 14Timonium, MD 21093-6211
Mailing Address1205 York Rd Ste 14Timonium, MD 21093-6211 · (410) 757-2077
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMay 8, 2020
Last NPPES UpdateApril 7, 20252 updates tracked since enumeration
NPPES CertifiedApril 7, 2025
✔ NPI 1205458536 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 · R216660
1205 YORK RD STE 14, Timonium, MD 21093

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

Raphael Gikonyo Phmnp-bc 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 ID6608264296
PECOS Enrollment IDI20211101003044
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

7

Medicare enrollment records show Raphael Gikonyo reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Adult Mental Health
1925 GREENSPRING DR
Timonium, MD 21093
  • Reassigned Medicare billing, Maryland enrollment
  • 143 clinicians in this Medicare group
Psychiatric/Mental Health
6000 BELLONA AVE
Baltimore, MD 21212
  • Reassigned Medicare billing, Maryland and District of Columbia enrollments
  • Also billed through NPI 1740049568 (District of Columbia)
  • 114 clinicians in this Medicare group
Rehabilitation
2101 SAINT PAUL ST, 1ST FLOOR
Baltimore, MD 21218
  • Reassigned Medicare billing, Maryland enrollment
  • 3 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
8527 RHUDDLAN RD
Nottingham, MD 21236
  • Reassigned Medicare billing, Maryland enrollment
Psychiatric/Mental Health
2232 E MONUMENT ST
Baltimore, MD 21205
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • 104 clinicians in this Medicare group
Pain Management
2232 E MONUMENT ST
Baltimore, MD 21205
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • 132 clinicians in this Medicare group
Multi-Specialty
9030 STATE ROUTE 108 STE A
Columbia, MD 21045
  • Reassigned Medicare billing, Maryland enrollment
  • 132 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 2

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.

Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
17 services12 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
17 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21093 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 19

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

Psychologist (Clinical)
1205 YORK RD STE 14
TIMONIUM, MD 21093
Social Worker (Clinical)
1205 YORK RD STE 14
TIMONIUM, MD 21093
Counselor (Mental Health)
1205 YORK RD STE 14
TIMONIUM, MD 21093
Psychiatry & Neurology (Psychiatry)
1205 YORK RD STE 14
TIMONIUM, MD 21093
Psychologist
1205 YORK RD STE 14
TIMONIUM, MD 21093
Psychiatry & Neurology (Psychiatry)
1205 YORK RD STE 14
TIMONIUM, MD 21093
Counselor (Professional)
1205 YORK RD STE 14
TIMONIUM, MD 21093
Social Worker (Clinical)
1205 YORK RD STE 14
TIMONIUM, MD 21093

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 Raphael Gikonyo's NPI number?

The NPI number for Raphael Gikonyo is 1205458536. It was assigned to this individual provider in the NPPES registry on May 8, 2020.

Where is Raphael Gikonyo located?

Raphael Gikonyo practices at 1205 York Rd Ste 14, Timonium, MD 21093. The listed phone number is (410) 757-2077.

What is Raphael Gikonyo's specialty?

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

Is Raphael Gikonyo enrolled in Medicare?

Yes. Raphael Gikonyo 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 Raphael Gikonyo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raphael Gikonyo reassigns Medicare benefits to 7 organizations: Mosaic Community Services, Inc. (Timonium, MD), Integrahealth LLC (Baltimore, MD), Dove Healthcare Services ,llc (Baltimore, MD), Grace Healing Wellness Center (Nottingham, MD), Spiritual Healing (Baltimore, MD) and 2 more organizations, listed in the Medicare section above. 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 Raphael Gikonyo'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 Raphael Gikonyo was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.