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DR. FOLASHADE R KANIMODO FNP-BC, PMHNP-BC
NPI 1417174889
Nurse Practitioner - Family in Baltimore, MD

Active since April 19, 2007PECOS EnrolledAccepts Medicare Assignment
1700 EAST COLD SPRING LANE UNIVERSITY HEALTH CENTER, BALTIMORE, MD 21251(443) 885-3236(443) 885-8232 Get Directions Write a Review

NPPES record last updated: September 11, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 11, 2020, Aug 6, 2020 (2 updates tracked since 2020).

About Dr. Folashade R Kanimodo Fnp-bc, Pmhnp-bc NPPES

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

DR. FOLASHADE R KANIMODO FNP-BC, PMHNP-BC (NPI 1417174889) is an individual family provider in Baltimore, Maryland, licensed in Maryland (R104161) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1417174889
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDR. FOLASHADE R KANIMODOCredential: FNP-BC, PMHNP-BC
Location Address1700 EAST COLD SPRING LANE UNIVERSITY HEALTH CENTERBaltimore, MD 21251-4999
Mailing Address1700 East Cold Spring Lane University Health CenterBaltimore, MD 21251-4999 · (443) 885-3236 · Fax (443) 885-8232
Phone(443) 885-3236
Fax(443) 885-8232
Sole ProprietorYes
Medical School CMSOtherGraduated 2000
Enumeration DateApril 19, 2007
Last NPPES UpdateSeptember 11, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2020
✔ NPI 1417174889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MD · R104161
1700 EAST COLD SPRING LANE UNIVERSITY HEALTH CENTER, Baltimore, MD 21251
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Dr. Folashade R Kanimodo Fnp-bc, Pmhnp-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 ID446678304
PECOS Enrollment IDI20260415000312
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

2

Medicare enrollment records show Folashade Kanimodo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Target Behavioral Health Services, LLC
18 mi
Psychiatric/Mental Health
15 E CHURCHVILLE RD STE 106
Bel Air, MD 21014
  • Reassigned Medicare billing, Maryland enrollment
NPI 1235749771 (410) 888-7143
Soulbridge Health Inc
272 mi
Mental Health (Including Community Mental Health Center)
418 BROADWAY # 10795
Albany, NY 12207
  • Reassigned Medicare billing, New York enrollment
NPI 1821947516 (410) 900-8897

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 21251 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.

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 Folashade Kanimodo's NPI number?

The NPI number for Folashade Kanimodo is 1417174889. It was assigned to this individual provider in the NPPES registry on April 19, 2007.

Where is Folashade Kanimodo located?

Folashade Kanimodo practices at 1700 East Cold Spring Lane University Health Center, Baltimore, MD 21251. The listed phone number is (443) 885-3236.

What is Folashade Kanimodo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Folashade Kanimodo enrolled in Medicare?

Yes. Folashade Kanimodo 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 Folashade Kanimodo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Folashade Kanimodo reassigns Medicare benefits to 2 organizations: Target Behavioral Health Services, LLC (Bel Air, MD) and Soulbridge Health Inc (Albany, NY). 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 Folashade Kanimodo'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 Folashade Kanimodo was last updated on September 11, 2020. 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.