UGONMA IMO
NPI 1225705346
Nurse Practitioner - Psychiatric/Mental Health in Baltimore, MD

Active since August 26, 2021PECOS EnrolledAccepts Medicare Assignment
84.77/100
CMS Quality Rating
6501 N CHARLES ST, BALTIMORE, MD 21204(410) 938-3000 Get Directions Write a Review

NPPES record last updated: April 15, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 15, 2022, Aug 29, 2021 (2 updates tracked since 2021).

About Ugonma Imo NPPES

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

UGONMA IMO (NPI 1225705346) is an individual psychiatric/mental health provider in Baltimore, Maryland, licensed in Maryland (R225968) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1225705346
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameUGONMA IMO
Location Address6501 N CHARLES STBaltimore, MD 21204-6819
Mailing Address3803 Cassandra RdRandallstown, MD 21133-3313 · (443) 823-7659
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 26, 2021
Last NPPES UpdateApril 15, 20222 updates tracked since enumeration
NPPES CertifiedApril 15, 2022
NPI 1225705346 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 · R225968
6501 N CHARLES ST, Baltimore, MD 21204

Accepted Insurance

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

Ugonma Imo 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 ID5193123503
PECOS Enrollment IDI20211014001761
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

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.

Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21204 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.96
Promoting Interoperability77
Improvement Activities40
Cost92.79

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.

Speech-Language Pathologist
6501 N CHARLES ST
TOWSON, MD 21204
Nurse Practitioner (Psychiatric/Mental Health)
6501 N CHARLES ST
TOWSON, MD 21204
Nurse Practitioner (Psychiatric/Mental Health)
6501 N CHARLES ST
BALTIMORE, MD 21204
Psychiatry & Neurology (Psychiatry)
6501 N CHARLES ST
BALTIMORE, MD 21204
Psychologist (Clinical)
6501 N CHARLES ST
BALTIMORE, MD 21204
Psychologist (Clinical)
6501 N CHARLES ST
TOWSON, MD 21204
Social Worker (Clinical)
6501 N CHARLES ST
BALTIMORE, MD 21204
Psychiatry & Neurology (Psychiatry)
6501 N CHARLES ST
BALTIMORE, MD 21204

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 Ugonma Imo's NPI number?

The NPI number for Ugonma Imo is 1225705346. It was assigned to this individual provider in the NPPES registry on August 26, 2021.

Where is Ugonma Imo located?

Ugonma Imo practices at 6501 N Charles St, Baltimore, MD 21204. The listed phone number is (410) 938-3000.

What is Ugonma Imo's specialty?

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

Is Ugonma Imo enrolled in Medicare?

Yes. Ugonma Imo 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.

What insurance does Ugonma Imo accept?

Health plans from Providence Health Plan list Ugonma Imo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ugonma Imo was last updated on April 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.