IDAAT BISOLA TIMBO-JALLOH
NPI 1841911500
Nurse Practitioner - Psychiatric/Mental Health in Glen Burnie, MD

Q: What is Idaat Timbo-jalloh's NPI number?

The NPI number for Idaat Timbo-jalloh is 1841911500. It was assigned to this individual provider in the NPPES registry on September 9, 2022.

Q: What is Idaat Timbo-jalloh's specialty?

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

Active since September 09, 2022PECOS EnrolledAccepts Medicare Assignment

7310 RITCHIE HWY STE 200, GLEN BURNIE, MD 21061(410) 446-7479 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 10, 2024, Mar 10, 2023, Sep 9, 2022 (3 updates tracked since 2022).

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About Idaat Bisola Timbo-jalloh NPPES

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

IDAAT BISOLA TIMBO-JALLOH (NPI 1841911500) is an individual psychiatric/mental health provider in Glen Burnie, Maryland, licensed in Maryland (R209309) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1841911500

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameIDAAT BISOLA TIMBO-JALLOH

Location Address7310 RITCHIE HWY STE 200Glen Burnie, MD 21061-3065

Mailing Address8285 W B And A RdSevern, MD 21144-2704 · (410) 446-7479

Phone(410) 446-7479

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateSeptember 9, 2022

Last NPPES UpdateOctober 15, 20243 updates tracked since enumeration

NPPES CertifiedOctober 15, 2024

✔ NPI 1841911500 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 · R209309

7310 RITCHIE HWY STE 200, Glen Burnie, MD 21061

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Other Identifiers 2

OtherT-512-329-089-775MD · T-512-329-089-775

Medicaid1841911500MD

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

Idaat Bisola Timbo-jalloh 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 ID7113425455

PECOS Enrollment IDI20250807000637, I20250809000365

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21061 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

$94.08 typical visit price

range $60.73 – $183.44

Typical copayment $23.52 (range $15.18 – $45.86)

Most-billed visit code 99203

Established Patient

$106.59 typical visit price

range $19.60 – $149.17

Typical copayment $26.64 (range $4.90 – $37.29)

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 15

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

PRO-RELIEF CONSULTING LLC

Community/Behavioral Health