DINKUM PROSPECT LLC
NPI 1740059476
Nurse Practitioner - Family in Rockville, MD

Active since December 21, 2023
9210 CORPORATE BLVD, ROCKVILLE, MD 20850(516) 518-0088(240) 559-4838 Get Directions Write a Review

NPPES record last updated: April 1, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 1, 2026, Mar 10, 2026, Nov 20, 2025 and 2 more (5 updates tracked since 2024).

About Dinkum Prospect Llc NPPES

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

DINKUM PROSPECT LLC (NPI 1740059476) is a healthcare organization registered as a family in Rockville, Maryland and active in the NPI registry since December 2023. The organization lists Motunrayo Adegorusi, Owner, as its authorized official.

NPPES Registry Identity

NPI1740059476
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameDINKUM PROSPECT LLC
Location Address9210 CORPORATE BLVDRockville, MD 20850-4608
Mailing Address11112 Prospect Hill RdGlenn Dale, MD 20769-9454
Fax(240) 559-4838
Organization SubpartNo
Authorized OfficialMotunrayo AdegorusiOwner · (240) 432-7017
Enumeration DateDecember 21, 2023
Last NPPES UpdateApril 1, 20265 updates tracked since enumeration
NPPES CertifiedApril 1, 2026
✔ NPI 1740059476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X
9210 CORPORATE BLVD, Rockville, MD 20850

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dinkum Prospect Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Dinkum Prospect LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1568941797
9210 CORPORATE BLVD STE 440
Rockville, MD 20850
(240) 559-4838
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1215417415
7474 GREENWAY CENTER DR
Greenbelt, MD 20770
(301) 441-3050
✔ PECOS18 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 Dinkum Prospect LLC's NPI number?

The NPI number for Dinkum Prospect LLC is 1740059476. It was assigned to this organization in the NPPES registry on December 21, 2023.

Where is Dinkum Prospect LLC located?

Dinkum Prospect LLC is located at 9210 Corporate Blvd, Rockville, MD 20850. The listed phone number is (516) 518-0088.

What is Dinkum Prospect LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Dinkum Prospect LLC enrolled in Medicare?

Yes. Dinkum Prospect LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dinkum Prospect LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Dinkum Prospect LLC. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dinkum Prospect LLC was last updated on April 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.