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

SAMUEL SULAIMAN KOROMA PMHNP
NPI 1790324960
Nurse Practitioner - Psychiatric/Mental Health in Waldorf, MD

Active since January 05, 2020PECOS EnrolledAccepts Medicare Assignment
101 PAUL MELLON CT STE 5, WALDORF, MD 20602(301) 810-4026 Get Directions Write a Review

NPPES record last updated: October 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 5, 2021, Oct 1, 2021, Feb 10, 2020 and 1 more (4 updates tracked since 2020).

About Samuel Sulaiman Koroma Pmhnp NPPES

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

SAMUEL SULAIMAN KOROMA PMHNP (NPI 1790324960) is an individual psychiatric/mental health provider in Waldorf, Maryland, licensed in Maryland (R219005) and active in the NPI registry since January 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1790324960
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameSAMUEL SULAIMAN KOROMACredential: PMHNP
Location Address101 PAUL MELLON CT STE 5Waldorf, MD 20602-2761
Mailing Address101 Paul Mellon Ct Ste 5Waldorf, MD 20602-2761 · (301) 810-4026
Phone(301) 810-4026
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 5, 2020
Last NPPES UpdateOctober 5, 20214 updates tracked since enumeration
NPPES CertifiedOctober 5, 2021
✔ NPI 1790324960 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 · R219005
101 PAUL MELLON CT STE 5, Waldorf, MD 20602
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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

Samuel Sulaiman Koroma Pmhnp 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 ID4981034931
PECOS Enrollment IDI20201028002375
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
228 services29 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
172 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20602 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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

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

ADVANCE INTEGRATED HEALTH, LLC
Nurse Practitioner (Psychiatric/Mental Health)
101 PAUL MELLON CT STE 5
WALDORF, MD 20602
Charles County (301) 810-4026

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 Samuel Koroma's NPI number?

The NPI number for Samuel Koroma is 1790324960. It was assigned to this individual provider in the NPPES registry on January 5, 2020.

Where is Samuel Koroma located?

Samuel Koroma practices at 101 Paul Mellon Ct Ste 5, Waldorf, MD 20602. The listed phone number is (301) 810-4026.

What is Samuel Koroma's specialty?

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

Is Samuel Koroma enrolled in Medicare?

Yes. Samuel Koroma 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.

What insurance does Samuel Koroma accept?

Health plans from Providence Health Plan list Samuel Koroma as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samuel Koroma was last updated on October 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.