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

ABDUL MALIK FOFANAH NP
NPI 1548979107
Nurse Practitioner - Psychiatric/Mental Health in Baltimore, MD

Active since November 22, 2022PECOS Enrolled
2115 N CHARLES ST, BALTIMORE, MD 21218(240) 441-7536(443) 449-5651 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 22, 2026, Jun 6, 2024, Nov 22, 2022 (3 updates tracked since 2022).

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 and maintains a secondary practice location in Washington.

NPPES Registry Identity

NPI1548979107
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameABDUL MALIK FOFANAHCredential: NP
Location Address2115 N CHARLES STBaltimore, MD 21218-5760
Mailing Address2115 N Charles StBaltimore, MD 21218-5760 · (240) 441-7536
Phone(240) 441-7536
Fax(443) 449-5651
Sole ProprietorNo
Enumeration DateNovember 22, 2022
Last NPPES UpdateJuly 22, 20263 updates tracked since enumeration
NPPES CertifiedJuly 22, 2026
✔ NPI 1548979107 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 · R215797
2115 N CHARLES ST, Baltimore, MD 21218
Open in Google Maps ↗

Secondary Practice Location 1

Location 13400 Martin Luther King Jr Ave SE Ste 300Washington, DC 20032-1542 · Phone (202) 724-7666

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Abdul Malik Fofanah Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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.

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 7

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

ALEX GREEN & ASSOCIATES
Counselor (Mental Health)
2115 N CHARLES ST, SUITE 200
BALTIMORE, MD 21218
Baltimore City (410) 808-2786
ALEX GREEN & ASSOCIATES
Counselor (Mental Health)
2115 N CHARLES ST, SUITE 200
BALTIMORE, MD 21218
Baltimore City (410) 808-2786
MR. J. ALEX GREEN LCPC,LCADC,NCC,NBCCH
Counselor (Professional)
2115 N CHARLES ST, SUITE 200
BALTIMORE, MD 21218
Baltimore City (410) 808-2786
ESOWOH HEALTHCARE
Clinic/Center (Adult Mental Health)
2115 N CHARLES ST
BALTIMORE, MD 21218
Baltimore City (301) 653-8255
ESOWOH HEALTHCARE
Clinic/Center (Adolescent and Children Mental Health)
2115 N CHARLES ST
BALTIMORE, MD 21218
Baltimore City (301) 653-8255
MICHEL DENISE HILLARD LCSW-C
Counselor (Mental Health)
2115 N CHARLES ST
BALTIMORE, MD 21218
Baltimore City (443) 691-0272
KELVIN SILVER & ASSOCIATES, LLC
Counselor (Mental Health)
2115 N CHARLES ST, SUITE 301
BALTIMORE, MD 21218
Baltimore City (410) 952-4088

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 enrollment system.

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 35 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.