KEZIAH KUKUA ONNOMAH
NPI 1538864079
Nurse Practitioner - Family in Baltimore, MD
About Keziah Kukua Onnomah NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEZIAH KUKUA ONNOMAH (NPI 1538864079) is an individual family provider in Baltimore, Maryland, licensed in Maryland (R219494) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
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
Keziah Kukua Onnomah 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.
Medicare Billing Reassignments
3Medicare enrollment records show Keziah Onnomah reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Pikesville, MD 21208
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 59 clinicians in this Medicare group
Linthicum Heights, MD 21090
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 78 clinicians in this Medicare group
Odenton, MD 21113
- Reassigned Medicare billing, Maryland enrollment
- 6 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 21215 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.
BALTIMORE, MD 21215
BALTIMORE, MD 21215
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 Keziah Onnomah's NPI number?
The NPI number for Keziah Onnomah is 1538864079. It was assigned to this individual provider in the NPPES registry on April 3, 2023.
Where is Keziah Onnomah located?
Keziah Onnomah practices at 2401 W Belvedere Ave, Baltimore, MD 21215. The listed phone number is (410) 601-9000.
What is Keziah Onnomah's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Keziah Onnomah enrolled in Medicare?
Yes. Keziah Onnomah 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 Keziah Onnomah's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Keziah Onnomah reassigns Medicare benefits to 3 organizations: Optimize Medical Group (Pikesville, MD), Medstar Health Weight Management, LLC (Linthicum Heights, MD) and Usa Sleep Diagnostic Mobile Services, LLC (Odenton, 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 Keziah Onnomah'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 Keziah Onnomah was last updated on April 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Keziah Kukua Onnomah · NPI 1538864079
Family physician in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since April 3, 2023.
## Identity
- **NPI:** 1538864079 (Entity type: Individual)
- **Enumerated:** April 3, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R219494 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2401 W BELVEDERE AVE, Baltimore, MD 21215-5270
- **Phone:** (410) 601-9000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Optimize Medical Group (NPI 1952818999, Pikesville, MD); Medstar Health Weight Management, LLC (NPI 1013785971, Linthicum Heights, MD); Usa Sleep Diagnostic Mobile Services, LLC (NPI 1619343092, Odenton, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** April 3, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1538864079) · Data from the CMS NPPES public registry.