DR. ENARUNA MAE TYCHUS MD
NPI 1255568820
Internal Medicine in Largo, MD
About Dr. Enaruna Mae Tychus Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ENARUNA MAE TYCHUS MD (NPI 1255568820) is an individual internal medicine provider in Largo, Maryland, licensed in Maryland (D74111) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Enaruna Mae Tychus Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Enaruna Tychus reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Suitland, MD 20746
- Reassigned Medicare billing, District of Columbia enrollment
- 2,492 clinicians in this Medicare group
Annapolis, MD 21401
- Reassigned Medicare billing, Maryland enrollment
- 28 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20774 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LARGO, MD 20774
LARGO, MD 20774
LARGO, MD 20774
LARGO, MD 20774
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 Enaruna Tychus's NPI number?
The NPI number for Enaruna Tychus is 1255568820. It was assigned to this individual provider in the NPPES registry on June 22, 2009. The provider is also known as Enaruna Mae Igiehon Tychus MD.
Where is Enaruna Tychus located?
Enaruna Tychus practices at 1221 Mercantile Ln Kaiser Permanente Largo Medical Center, Largo, MD 20774. The listed phone number is (301) 618-5500.
What is Enaruna Tychus's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Enaruna Tychus enrolled in Medicare?
Yes. Enaruna Tychus is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Enaruna Tychus's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Enaruna Tychus reassigns Medicare benefits to 2 organizations: Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Suitland, MD) and Annapolis Internal Medicine, LLC (Annapolis, 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 Enaruna Tychus'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 Enaruna Tychus was last updated on October 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Dr. Enaruna Mae Tychus, MD · NPI 1255568820
Internal Medicine physician in Largo, Maryland. Individual provider, active in the CMS NPPES registry since June 22, 2009.
## Identity
- **NPI:** 1255568820 (Entity type: Individual)
- **Enumerated:** June 22, 2009
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** D74111 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 1221 MERCANTILE LN, KAISER PERMANENTE LARGO MEDICAL CENTER, Largo, MD 20774-5374
- **Phone:** (301) 618-5500
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (NPI 1730200965, Suitland, MD); Annapolis Internal Medicine, LLC (NPI 1477629681, Annapolis, MD) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 30, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1255568820) · Data from the CMS NPPES public registry.