IZYHEALTHCARE
NPI 1548050107
Clinic/Center - Mental Health (Including Community Mental Health Center) in Germantown, MD

Active since May 07, 2025
12774 WISTERIA DR # 353, GERMANTOWN, MD 20874(240) 813-0304(641) 206-7158 Get Directions Write a Review

NPPES record last updated: August 18, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 18, 2026, Jan 24, 2026, Jul 3, 2025 and 2 more (5 updates tracked since 2025).

About Izyhealthcare NPPES

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

IZYHEALTHCARE (NPI 1548050107) is a healthcare organization registered as a mental health (including community mental health center) in Germantown, Maryland and active in the NPI registry since May 2025. The organization lists Izeku Iziegbe Ekatah, Ceo, as its authorized official.

NPPES Registry Identity

NPI1548050107
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameIZYHEALTHCARE
Location Address12774 WISTERIA DR # 353Germantown, MD 20874-9998
Mailing Address12774 Wisteria Dr # 353Germantown, MD 20874-9998 · (240) 865-3144 · Fax (877) 365-0899
Fax(641) 206-7158
Organization SubpartNo
Authorized OfficialIzeku Iziegbe EkatahCeo · (240) 865-3144
Enumeration DateMay 7, 2025
Last NPPES UpdateAugust 18, 20265 updates tracked since enumeration
NPPES CertifiedAugust 18, 2026
✔ NPI 1548050107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedNursing CareTaxonomy 251J00000X
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
12774 WISTERIA DR # 353, Germantown, MD 20874

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Izyhealthcare 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 Izyhealthcare, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1619699881
333 HAWAII AVE NE STE 100
Washington, DC 20011
(202) 232-4270
✔ PECOS✔ Accepts Medicare22 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 Izyhealthcare's NPI number?

The NPI number for Izyhealthcare is 1548050107. It was assigned to this organization in the NPPES registry on May 7, 2025.

Where is Izyhealthcare located?

Izyhealthcare is located at 12774 Wisteria Dr # 353, Germantown, MD 20874. The listed phone number is (240) 813-0304.

What is Izyhealthcare's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Izyhealthcare enrolled in Medicare?

Yes. Izyhealthcare is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Izyhealthcare?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Izyhealthcare. 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 Izyhealthcare was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.