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DEBOBETH MEDICAL CENTER
NPI 1871074096
Nurse Practitioner in Baltimore, MD

Active since August 25, 2018
3109 ERDMAN AVE, BALTIMORE, MD 21213(410) 869-4602 Get Directions Write a Review

NPPES record last updated: April 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 17, 2026, Aug 25, 2018 (2 updates tracked since 2018).

About Debobeth Medical Center NPPES

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

DEBOBETH MEDICAL CENTER (NPI 1871074096) is a healthcare organization registered as a nurse practitioner in Baltimore, Maryland and active in the NPI registry since August 2018. The organization lists Mercy Fadoju, Provider, as its authorized official.

NPPES Registry Identity

NPI1871074096
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameDEBOBETH MEDICAL CENTER
Location Address3109 ERDMAN AVEBaltimore, MD 21213-1765
Mailing Address3109 Erdman AveBaltimore, MD 21213-1765 · (410) 869-4602
Phone(410) 869-4602
Organization SubpartNo
Authorized OfficialMercy FadojuProvider · (443) 904-5129
Enumeration DateAugust 25, 2018
Last NPPES UpdateApril 17, 20262 updates tracked since enumeration
NPPES CertifiedApril 17, 2026
✔ NPI 1871074096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MD · RI33965
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
3109 ERDMAN AVE, Baltimore, MD 21213
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Other Identifiers 1

Medicaid414768500MD

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)

Debobeth Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Debobeth Medical Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Christianah Egiefameh, PMHNP
Nurse Practitioner
NPI 1790328268
3107 ERDMAN AVE
Baltimore, MD 21213
(410) 869-4602
✔ PECOS✔ Accepts MedicareSame address
Mercy Fadoju, C.R.N.P.
Nurse Practitioner
NPI 1962671313
413 COMMONWEALTH AVE STE 7
Baltimore, MD 21228
(410) 869-4602
✔ PECOS✔ Accepts Medicare9.6 mi
Margaret Okesola, NP
Nurse Practitioner
NPI 1730922055
413 COMMONWEALTH AVE
Catonsville, MD 21228
(443) 904-5129
✔ PECOS9.6 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 Debobeth Medical Center's NPI number?

The NPI number for Debobeth Medical Center is 1871074096. It was assigned to this organization in the NPPES registry on August 25, 2018.

Where is Debobeth Medical Center located?

Debobeth Medical Center is located at 3109 Erdman Ave, Baltimore, MD 21213. The listed phone number is (410) 869-4602.

What is Debobeth Medical Center's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Debobeth Medical Center enrolled in Medicare?

Yes. Debobeth Medical Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Debobeth Medical Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Debobeth Medical Center. 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 and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Debobeth Medical Center was last updated on April 17, 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.