TDK INTEGRATED HEALTH, INC
NPI 1841812005
Clinic/Center in Glenn Dale, MD
About Tdk Integrated Health, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TDK INTEGRATED HEALTH, INC (NPI 1841812005) is a healthcare organization registered as a clinic/center in Glenn Dale, Maryland and active in the NPI registry since May 2020. The organization maintains a secondary practice location in Waldorf and lists Funmilayo Olugbemi, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tdk Integrated Health, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Tdk Integrated Health, Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Tdk Integrated Health, Inc's NPI number?
The NPI number for Tdk Integrated Health, Inc is 1841812005. It was assigned to this organization in the NPPES registry on May 11, 2020.
Where is Tdk Integrated Health, Inc located?
Tdk Integrated Health, Inc is located at 7102 Glen Pine St, Glenn Dale, MD 20769. The listed phone number is (301) 615-3639.
What is Tdk Integrated Health, Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Tdk Integrated Health, Inc enrolled in Medicare?
Yes. Tdk Integrated Health, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Tdk Integrated Health, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Tdk Integrated Health, Inc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Tdk Integrated Health, Inc was last updated on February 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Tdk Integrated Health, Inc · NPI 1841812005
Clinic/Center organization in Glenn Dale, Maryland. Organization record, active in the CMS NPPES registry since May 11, 2020.
## Identity
- **NPI:** 1841812005 (Entity type: Organization)
- **Enumerated:** May 11, 2020
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Funmilayo Olugbemi, CEO
## Practice location
- **Address:** 7102 GLEN PINE ST, Glenn Dale, MD 20769-9463
- **Phone:** (301) 615-3639 · **Fax:** (945) 200-5716
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 26, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1841812005) · Data from the CMS NPPES public registry.