Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ESOWOH HEALTHCARE
NPI 1528826690
Nurse Practitioner - Psychiatric/Mental Health in Fort Washington, MD

Active since March 12, 2024
2012 THISTLEWOOD DR, FORT WASHINGTON, MD 20744(202) 304-0633(443) 449-5651 Get Directions Write a Review

NPPES record last updated: October 30, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 30, 2026, Jun 12, 2024 (2 updates tracked since 2024).

About Esowoh Healthcare NPPES

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

ESOWOH HEALTHCARE (NPI 1528826690) is a healthcare organization registered as a psychiatric/mental health in Fort Washington, Maryland and active in the NPI registry since March 2024. The organization lists Augustina Fofanah, Ceo, as its authorized official.

NPPES Registry Identity

NPI1528826690
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameESOWOH HEALTHCARE
Location Address2012 THISTLEWOOD DRFort Washington, MD 20744-3901
Mailing Address2012 Thistlewood DrFort Washington, MD 20744-3901 · (202) 304-0633 · Fax (443) 449-5651
Fax(443) 449-5651
Organization SubpartNo
Authorized OfficialAugustina FofanahCeo · (202) 304-0633
Enumeration DateMarch 12, 2024
Last NPPES UpdateOctober 30, 20262 updates tracked since enumeration
NPPES CertifiedOctober 30, 2026
✔ NPI 1528826690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
2012 THISTLEWOOD DR, Fort Washington, MD 20744

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Esowoh Healthcare is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Esowoh Healthcare, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1548979107
2115 N CHARLES ST
Baltimore, MD 21218
(240) 441-7536
✔ PECOS✔ Accepts Medicare43 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Esowoh Healthcare's NPI number?

The NPI number for Esowoh Healthcare is 1528826690. It was assigned to this organization in the NPPES registry on March 12, 2024.

Where is Esowoh Healthcare located?

Esowoh Healthcare is located at 2012 Thistlewood Dr, Fort Washington, MD 20744. The listed phone number is (202) 304-0633.

What is Esowoh Healthcare's specialty?

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

Is Esowoh Healthcare enrolled in Medicare?

Yes. Esowoh Healthcare is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Esowoh Healthcare?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Esowoh Healthcare. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Esowoh Healthcare was last updated on October 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.