ABDUL MALIK FOFANAH NP
NPI 1548979107
Nurse Practitioner - Psychiatric/Mental Health in Baltimore, MD
About Abdul Malik Fofanah Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ABDUL MALIK FOFANAH NP (NPI 1548979107) is an individual psychiatric/mental health provider in Baltimore, Maryland, licensed in Maryland (R215797) and active in the NPI registry since November 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Washington, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Abdul Malik Fofanah Np 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
2Medicare enrollment records show Abdul Fofanah reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Baltimore, MD 21206
- Reassigned Medicare billing, Maryland enrollment
- 35 clinicians in this Medicare group
Washington, MD 20744
- Reassigned Medicare billing, Maryland enrollment
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 21218 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 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BALTIMORE, MD 21218
BALTIMORE, MD 21218
BALTIMORE, MD 21218
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 Abdul Fofanah's NPI number?
The NPI number for Abdul Fofanah is 1548979107. It was assigned to this individual provider in the NPPES registry on November 22, 2022.
Where is Abdul Fofanah located?
Abdul Fofanah practices at 2115 N Charles St, Baltimore, MD 21218. The listed phone number is (240) 441-7536.
What is Abdul Fofanah's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Abdul Fofanah enrolled in Medicare?
Yes. Abdul Fofanah 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 Abdul Fofanah's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Abdul Fofanah reassigns Medicare benefits to 2 organizations: Resonance Behavioral Health Services (Baltimore, MD) and Esowoh Healthcare (Washington, 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 Abdul Fofanah'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 Abdul Fofanah was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Abdul Malik Fofanah, NP · NPI 1548979107
Psychiatric/Mental Health physician in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since November 22, 2022.
## Identity
- **NPI:** 1548979107 (Entity type: Individual)
- **Enumerated:** November 22, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** R215797 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 2115 N CHARLES ST, Baltimore, MD 21218-5760
- **Phone:** (240) 441-7536 · **Fax:** (443) 449-5651
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Resonance Behavioral Health Services (NPI 1821765926, Baltimore, MD); Esowoh Healthcare (NPI 1528826690, Washington, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** July 22, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1548979107) · Data from the CMS NPPES public registry.