MODEST TAH NDANGOH (NP) – Family Nurse Practitioner, NPI 1801394002

MODEST TAH NDANGOH (NP) is a healthcare provider. based in Berwyn heights, Maryland. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. R194971 (MD). The NPI Number for MODEST TAH NDANGOH (NP) is 1801394002

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
MODEST TAH NDANGOH (NP)
NPI
1801394002
Phone
(301) 307-2611
Address
6201 GREENBELT RD UNIT 18
Enumeration Date
23 January 2018
Last Update Date
24 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3013072611
Graduation Year
2017 (9 years ago)
PAC ID
7416218557
Professional Enrollment ID
I20180306000611
Address ID
MD207402354BE6201XRDXX311
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

6,767 NURSE PRACTITIONER in MD

Provider Addresses for MODEST TAH NDANGOH (NP)

  • 6201 GREENBELT RD UNIT 18

    BERWYN HEIGHTS, MD 207402354

    Phone: (301) 307-2611

    Fax: (301) 812-4190

    Type: Location

  • 10215 Fernwood Rd Ste 630

    Bethesda, MD 208171184

    Phone: (240) 449-3094

    Fax: (240) 668-2830

    Type: Location

  • Fernwood Road, Stratton Woods, North Bethesda, Montgomery County, Maryland, 20817-2445, United States

    BETHESDA, MD 208171184

    Phone: (240) 449-3094

    Fax: (240) 668-2830

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-03-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180306000611INurse PractitionerDCTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99215Established patient office or other outpatient visit, 40-54 minutes8519$0
View full utilization report →

Insurance plans in this area (ZIP 20740)

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Reviews

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Frequently asked questions

What is MODEST TAH NDANGOH (NP)'s NPI number?
MODEST TAH NDANGOH (NP)'s NPI is 1801394002 — the number used across U.S. healthcare to identify this provider.
Is there an active status for MODEST TAH NDANGOH (NP)?
For scheduling context, MODEST TAH NDANGOH (NP) is shown as active in the registry.
How would a patient describe MODEST TAH NDANGOH (NP)'s focus?
For MODEST TAH NDANGOH (NP), the primary taxonomy reads as Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MODEST TAH NDANGOH (NP) located near Berwyn Heights?
MODEST TAH NDANGOH (NP) currently maps to Berwyn Heights, Maryland in this extract.
Can I trust this NPI listing for MODEST TAH NDANGOH (NP)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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