FARIDATOU ISSIAKO-BIO PA-C
NPI 1457174468
Physician Assistant - Medical in Baltimore, MD

Active since November 07, 2024PECOS Enrolled
601 N CAROLINE ST, BALTIMORE, MD 21287(410) 955-5000 Get Directions Write a Review

NPPES record last updated: June 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 19, 2025, Nov 7, 2024 (2 updates tracked since 2024).

About Faridatou Issiako-bio Pa-c NPPES

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

FARIDATOU ISSIAKO-BIO PA-C (NPI 1457174468) is an individual medical provider in Baltimore, Maryland, licensed in Maryland (C0009717) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Baltimore, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1457174468
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameFARIDATOU ISSIAKO-BIOCredential: PA-C
Location Address601 N CAROLINE STBaltimore, MD 21287-0006
Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (410) 933-6423
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 7, 2024
Last NPPES UpdateJune 19, 20252 updates tracked since enumeration
NPPES CertifiedJune 19, 2025
NPI 1457174468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in MD · C0009717
601 N CAROLINE ST, Baltimore, MD 21287

Secondary Practice Location 1

Location 1301 Mason Lord DrBaltimore, MD 21224-3057 · Phone (410) 550-0465

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Faridatou Issiako-bio Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6608389341
PECOS Enrollment IDI20250626004352
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.

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.

Internal Medicine (Pulmonary Disease)
601 N CAROLINE ST
BALTIMORE, MD 21287
Radiology (Diagnostic Radiology)
601 N CAROLINE ST
BALTIMORE, MD 21287
Speech-Language Pathologist
601 N CAROLINE ST
BALTIMORE, MD 21287
Dermatology
601 N CAROLINE ST
BALTIMORE, MD 21287
Nurse Practitioner (Adult Health)
601 N CAROLINE ST
BALTIMORE, MD 21287
Physician Assistant (Surgical)
601 N CAROLINE ST, #5263
BALTIMORE, MD 21287
Physician Assistant (Medical)
601 N CAROLINE ST
BALTIMORE, MD 21287
Orthopaedic Surgery (Hand Surgery)
601 N CAROLINE ST, RM 5210
BALTIMORE, MD 21287

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 Faridatou Issiako-bio's NPI number?

The NPI number for Faridatou Issiako-bio is 1457174468. It was assigned to this individual provider in the NPPES registry on November 7, 2024.

Where is Faridatou Issiako-bio located?

Faridatou Issiako-bio practices at 601 N Caroline St, Baltimore, MD 21287. The listed phone number is (410) 955-5000.

What is Faridatou Issiako-bio's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Faridatou Issiako-bio enrolled in Medicare?

Yes. Faridatou Issiako-bio is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Faridatou Issiako-bio was last updated on June 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.