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IMISIO HEALTHCARE SERVICES
NPI 1902768104
Clinic/Center - Mental Health (Including Community Mental Health Center) in Pikesville, MD

Active since November 26, 2025
1515 REISTERSTOWN RD STE 304, PIKESVILLE, MD 21208(410) 505-0506(240) 466-6507 Get Directions Write a Review

NPPES record last updated: November 26, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Imisio Healthcare Services NPPES

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

IMISIO HEALTHCARE SERVICES (NPI 1902768104) is a healthcare organization registered as a mental health (including community mental health center) in Pikesville, Maryland and active in the NPI registry since November 2025. The organization lists Omokorede Fatile, President, as its authorized official.

NPPES Registry Identity

NPI1902768104
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameIMISIO HEALTHCARE SERVICES
Location Address1515 REISTERSTOWN RD STE 304Pikesville, MD 21208-4336
Mailing Address1515 Reisterstown Rd Ste 304Pikesville, MD 21208-4336 · (410) 505-0506 · Fax (240) 466-6507
Phone(410) 505-0506
Fax(240) 466-6507
Organization SubpartNo
Authorized OfficialOmokorede FatilePresident · (718) 749-4346
Enumeration DateNovember 26, 2025
NPPES CertifiedNovember 26, 2025
✔ NPI 1902768104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
1515 REISTERSTOWN RD STE 304, Pikesville, MD 21208
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Imisio Healthcare Services 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 Imisio Healthcare Services, which bills Medicare for the services this clinician delivers.

Clinician (1)

Omokorede Fatile
Nurse Practitioner
NPI 1275256992
1515 REISTERSTOWN RD STE 304
Pikesville, MD 21208
(718) 749-4346
✔ PECOS✔ Accepts MedicareSame address

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 Imisio Healthcare Services's NPI number?

The NPI number for Imisio Healthcare Services is 1902768104. It was assigned to this organization in the NPPES registry on November 26, 2025.

Where is Imisio Healthcare Services located?

Imisio Healthcare Services is located at 1515 Reisterstown Rd Ste 304, Pikesville, MD 21208. The listed phone number is (410) 505-0506.

What is Imisio Healthcare Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Imisio Healthcare Services enrolled in Medicare?

Yes. Imisio Healthcare Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Imisio Healthcare Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Imisio Healthcare Services. 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 Imisio Healthcare Services was last updated on November 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.