KOFO ABIRU-ADEBAMBO - NPI 1548924459 - Nurse Practitioner in Rosedale, MD

Q: What is Kofo Abiru-adebambo's NPI number?

The NPI number for Kofo Abiru-adebambo is 1548924459. It was assigned to this individual provider in the NPPES registry on October 26, 2021.

Q: What is Kofo Abiru-adebambo's specialty?

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

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About Kofo Abiru-adebambo NPPES

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

KOFO ABIRU-ADEBAMBO (NPI 1548924459) is an individual psychiatric/mental health provider in Rosedale, Maryland, licensed in Maryland (R182386) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Waldorf, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1548924459

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameKOFO ABIRU-ADEBAMBO

Location Address1232 RACE ROAD, STE 403Rosedale, MD 21237-1483

Mailing Address822 Guilford Ave Unit 2010Baltimore, MD 21202-3707 · (408) 697-9392

Phone(443) 868-7101

Fax(443) 732-0054

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateOctober 26, 2021

Last NPPES UpdateDecember 28, 20243 updates tracked since enumeration

NPPES CertifiedDecember 28, 2024

✔ NPI 1548924459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in MD · R182386

1232 RACE ROAD, Rosedale, MD 21237

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Secondary Practice Location 1

Location 13261 Old Washington Rd Ste 2020Waldorf, MD 20602-3231 · Phone (301) 263-3786 · Fax (301) 263-3804

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kofo Abiru-adebambo 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 ID9537556725

PECOS Enrollment IDI20220418000432

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21237 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.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VICENZA HOME HEALTH CARE SERVICES, INC.

Home Health

1232 RACE ROAD, STE# 303
ROSEDALE, MD 21237

Baltimore County (410) 882-0568

DAVID MAINA

Nurse Practitioner (Psychiatric/Mental Health)