JOHN KAMAU NGUGI CRNP-BC
NPI 1245638048
Nurse Practitioner - Adult Health in Pikesville, MD
About John Kamau Ngugi Crnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN KAMAU NGUGI CRNP-BC (NPI 1245638048) is an individual adult health provider in Pikesville, Maryland, licensed in Maryland (R179125) and active in the NPI registry since December 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
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
John Kamau Ngugi Crnp-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.
Medicare Billing Reassignments
3Medicare enrollment records show John Ngugi reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Pikesville, MD 21208
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 59 clinicians in this Medicare group
Pikesville, MD 21208
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 26 clinicians in this Medicare group
Baltimore, MD 21229
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 12 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 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21208 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 10
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BALTIMORE, MD 21208
PIKESVILLE, MD 21208
PIKESVILLE, MD 21208
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 John Ngugi's NPI number?
The NPI number for John Ngugi is 1245638048. It was assigned to this individual provider in the NPPES registry on December 10, 2014.
Where is John Ngugi located?
John Ngugi practices at 1314 Bedford Ave Ste 113, Pikesville, MD 21208. The listed phone number is (480) 877-8780.
What is John Ngugi's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is John Ngugi enrolled in Medicare?
Yes. John Ngugi 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 John Ngugi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Ngugi reassigns Medicare benefits to 3 organizations: Optimize Medical Group (Pikesville, MD), Post Acute Health Care Services LLC (Pikesville, MD) and Access Health LLC (Baltimore, 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 John Ngugi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Ngugi accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list John Ngugi 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 John Ngugi was last updated on February 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# John Kamau Ngugi, CRNP-BC · NPI 1245638048
Adult Health physician in Pikesville, Maryland. Individual provider, active in the CMS NPPES registry since December 10, 2014.
## Identity
- **NPI:** 1245638048 (Entity type: Individual)
- **Enumerated:** December 10, 2014
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** R179125 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1314 BEDFORD AVE STE 113, Pikesville, MD 21208-3737
- **Phone:** (480) 877-8780 · **Fax:** (443) 732-0054
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Optimize Medical Group (NPI 1952818999, Pikesville, MD); Post Acute Health Care Services LLC (NPI 1982423653, Pikesville, MD); Access Health LLC (NPI 1144189564, Baltimore, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** February 8, 2019
- **Other identifiers:** Medicaid 964007000 (MD)
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Source: [NPI Profile](https://npiprofile.com/npi/1245638048) · Data from the CMS NPPES public registry.