MODEST TAH NDANGOH NP
NPI 1801394002
Nurse Practitioner - Family in Berwyn Heights, MD
About Modest Tah Ndangoh Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MODEST TAH NDANGOH NP (NPI 1801394002) is an individual family provider in Berwyn Heights, Maryland, licensed in Maryland (R194971) and active in the NPI registry since January 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Bethesda, and is a graduate of Other (2017).
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
Modest Tah Ndangoh 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 Reassignment
Medicare enrollment records show Modest Ndangoh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Berwyn Heights, MD 20740
- Reassigned Medicare billing, District of Columbia enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20740 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BERWYN HEIGHTS, MD 20740
BERWYN HEIGHTS, MD 20740
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 Modest Ndangoh's NPI number?
The NPI number for Modest Ndangoh is 1801394002. It was assigned to this individual provider in the NPPES registry on January 23, 2018.
Where is Modest Ndangoh located?
Modest Ndangoh practices at 6201 Greenbelt Rd Unit 18, Berwyn Heights, MD 20740. The listed phone number is (301) 307-2611.
What is Modest Ndangoh's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Modest Ndangoh enrolled in Medicare?
Yes. Modest Ndangoh 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 organization bills Medicare for Modest Ndangoh's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Modest Ndangoh reassigns Medicare benefits to Maryland Health And Wellness Solution LLC (Berwyn Heights, MD). The 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 Modest Ndangoh'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 Modest Ndangoh was last updated on November 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Modest Tah Ndangoh, NP · NPI 1801394002
Family physician in Berwyn Heights, Maryland. Individual provider, active in the CMS NPPES registry since January 23, 2018.
## Identity
- **NPI:** 1801394002 (Entity type: Individual)
- **Enumerated:** January 23, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R194971 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6201 GREENBELT RD UNIT 18, Berwyn Heights, MD 20740-2354
- **Phone:** (301) 307-2611 · **Fax:** (301) 812-4190
## 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:** Maryland Health And Wellness Solution LLC (NPI 1124622766, Berwyn Heights, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** November 24, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1801394002) · Data from the CMS NPPES public registry.