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MR. MOSES EKEMEZIE IKEJIOFOR PMHNP
NPI 1437704103
Nurse Practitioner - Psychiatric/Mental Health in Baltimore, MD

Active since August 08, 2019PECOS EnrolledAccepts Medicare Assignment
1501 SULGRAVE AVE STE 301, BALTIMORE, MD 21209(443) 869-2550(443) 869-2750 Get Directions Write a Review

NPPES record last updated: February 24, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 1, 2023, Aug 8, 2019 (2 updates tracked since 2019).

About Mr. Moses Ekemezie Ikejiofor Pmhnp NPPES

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

MR. MOSES EKEMEZIE IKEJIOFOR PMHNP (NPI 1437704103) is an individual psychiatric/mental health provider in Baltimore, Maryland, licensed in Maryland (R165493) and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Randallstown, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1437704103
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. MOSES EKEMEZIE IKEJIOFORCredential: PMHNP
Location Address1501 SULGRAVE AVE STE 301Baltimore, MD 21209-3651
Mailing Address3711 Stoneybrook RdRandallstown, MD 21133-4134 · (443) 858-3581
Phone(443) 869-2550
Fax(443) 869-2750
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 8, 2019
Last NPPES UpdateFebruary 24, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2026
✔ NPI 1437704103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MD · R165493
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License R165493 (MD)
1501 SULGRAVE AVE STE 301, Baltimore, MD 21209
Open in Google Maps ↗

Secondary Practice Location 1

Location 13711 Stoneybrook RdRandallstown, MD 21133-4134 · Phone (443) 858-3581

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

Mr. Moses Ekemezie Ikejiofor Pmhnp 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 ID6800224601
PECOS Enrollment IDI20200310000012
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 Moses Ikejiofor reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Primehealth Behavioral Healthcare Services LLC
Same address
Psychiatric/Mental Health
1501 SULGRAVE AVE, STE 301
Baltimore, MD 21209
  • Reassigned Medicare billing, Maryland enrollment
  • 3 clinicians in this Medicare group
NPI 1518535368 (443) 869-2550
Charito Quintero-Howard Child And Adult Psychiatry
16 mi
Mental Health (Including Community Mental Health Center)
630 TOWNE CENTER DR
Joppa, MD 21085
  • Reassigned Medicare billing, Maryland enrollment
  • 6 clinicians in this Medicare group
NPI 1285044875 (410) 510-7099

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 21209 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 Moses Ikejiofor's NPI number?

The NPI number for Moses Ikejiofor is 1437704103. It was assigned to this individual provider in the NPPES registry on August 8, 2019.

Where is Moses Ikejiofor located?

Moses Ikejiofor practices at 1501 Sulgrave Ave Ste 301, Baltimore, MD 21209. The listed phone number is (443) 869-2550.

What is Moses Ikejiofor's specialty?

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

Is Moses Ikejiofor enrolled in Medicare?

Yes. Moses Ikejiofor 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 Moses Ikejiofor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Moses Ikejiofor reassigns Medicare benefits to 2 organizations: Primehealth Behavioral Healthcare Services LLC (Baltimore, MD) and Charito Quintero-Howard Child And Adult Psychiatry (Joppa, 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 Moses Ikejiofor'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 Moses Ikejiofor was last updated on February 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.