1. Home
  2. Directory
  3. Maryland
  4. Bowie
  5. Nurse Practitioner
  6. NPI Profile

MRS. CHIBUZOR SUSAN IGOLO
NPI 1598365082
Nurse Practitioner - Psychiatric/Mental Health in Bowie, MD

Active since October 26, 2020PECOS Enrolled
4809 RIVER VALLEY WAY, BOWIE, MD 20720(201) 500-6992(833) 605-4359 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 24, 2025, Sep 19, 2024, Mar 21, 2021 and 1 more (4 updates tracked since 2020).

About Mrs. Chibuzor Susan Igolo NPPES

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

MRS. CHIBUZOR SUSAN IGOLO (NPI 1598365082) is an individual psychiatric/mental health provider in Bowie, Maryland, licensed in Maryland (R220807) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Greenbelt, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1598365082
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. CHIBUZOR SUSAN IGOLO
Location Address4809 RIVER VALLEY WAYBowie, MD 20720-3436
Mailing Address4809 River Valley WayBowie, MD 20720-3436 · (618) 203-2639
Phone(201) 500-6992
Fax(833) 605-4359
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 26, 2020
Last NPPES UpdateJune 24, 20254 updates tracked since enumeration
NPPES CertifiedJune 24, 2025
✔ NPI 1598365082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MD · R220807
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License R220807 (MD)
4809 RIVER VALLEY WAY, Bowie, MD 20720
Open in Google Maps ↗

Secondary Practice Location 1

Location 17525 Greenway Center Dr Ste 202Greenbelt, MD 20770-3525 · Phone (301) 304-1546

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Chibuzor Susan Igolo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6608308119
PECOS Enrollment IDI20260505001813
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Chibuzor Igolo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lartey Wellness Group LLC
11 mi
Mental Health
8101 SANDY SPRING RD STE 250H
Laurel, MD 20707
  • Reassigned Medicare billing, District of Columbia enrollment
  • 14 clinicians in this Medicare group
NPI 1942761838 (301) 524-2273
Addiction Medication Clinic LLC
43 mi
Mental Health (Including Community Mental Health Center)
407 MALCOLM DR
Westminster, MD 21157
  • Reassigned Medicare billing, Maryland enrollment
  • 16 clinicians in this Medicare group
NPI 1386215705 (443) 547-2964

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 20720 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

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 Chibuzor Igolo's NPI number?

The NPI number for Chibuzor Igolo is 1598365082. It was assigned to this individual provider in the NPPES registry on October 26, 2020.

Where is Chibuzor Igolo located?

Chibuzor Igolo practices at 4809 River Valley Way, Bowie, MD 20720. The listed phone number is (201) 500-6992.

What is Chibuzor Igolo's specialty?

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

Is Chibuzor Igolo enrolled in Medicare?

Yes. Chibuzor Igolo is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Chibuzor Igolo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chibuzor Igolo reassigns Medicare benefits to 2 organizations: Lartey Wellness Group LLC (Laurel, MD) and Addiction Medication Clinic LLC (Westminster, 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 Chibuzor Igolo'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 Chibuzor Igolo was last updated on June 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.