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Active NPI 1104278118 Individual Practitioner Male Practitioner

Ikechi Dike , NP-C

Nurse Practitioner • Joppa, MD

Professional Overview & Biography Verified Profile Summary

Ikechi Dike, NP-C is a registered healthcare professional specializing in Nurse Practitioner in Joppa, MD. Practice services are available at 413 PULASKI HWY STE 201 under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, administration of influenza virus vaccine. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

413 Pulaski Hwy Ste 201

Joppa, MD 21085

Telephone 4105937556
Fax 4105107958
Associated Practice Facility / Clinic
🏢 Triumph Primary Care Llc Facility NPI 1851938534

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Joppa, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.9 Yrs
Regional Practice Density
1 Specialists

Practicing in Joppa, MD (1277 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
58.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
167 105 $295.79 $114.40
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
25 25 $297.52 $117.86
G0008 Administration of influenza virus vaccine
23 23 $59.52 $32.50
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage
17 17 $124.00 $75.16
99213 Established patient office or other outpatient visit, typically 15 minutes
17 16 $208.53 $82.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
12 12 $407.42 $151.77

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MD AC002606

(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.

Secondary Practice Locations

40 Mansfield Ave

Willimantic, CT 062262018

Phone: 8604507471

10755 Falls Rd Ste 160

Lutherville, MD 210934588

Phone: 4105832777

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

16 Historical Events
📍
Updated Practice Location August 08, 2019

Registered at 413 PULASKI HWY STE 201, JOPPA, MD 21085 (Tel: 4105937556)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2019

Nurse Practitioner (License #AC002606 in MD)

📍
Updated Practice Location June 10, 2019

Registered at 413 PULASKI HWY STE 201, JOPPA, MD 210853625 (Tel: 4105937556)

📍
Updated Business Mailing Address June 10, 2019

Registered at 413 PULASKI HWY STE 201, JOPPA, MD 210853625 (Tel: 4105937556)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 10, 2019

Clinic/Center (License #AC002606 in MD)

NPI Profile Active October 23, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 23, 2017

Registered at 40 MANSFIELD AVE, WILLIMANTIC, CT 062262018 (Tel: 8604507471)

📍
Updated Business Mailing Address October 23, 2017

Registered at 27 KIBBE ST, HARTFORD, CT 061062120 (Tel: 8602180189)

👤
Provider Name / Credentials Updated October 23, 2017

Recorded as IKECHI DIKE, NP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 23, 2017

Nurse Practitioner (License #006520 in CT)

NPI Profile Active September 29, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location September 29, 2016

Registered at 40 MANSFIELD AVE, WILLIMANTIC, CT 062262018 (Tel: 8604507471)

📍
Updated Business Mailing Address September 29, 2016

Registered at 27 KIBBE ST, HARTFORD, CT 061062120 (Tel: 8602180189)

👤
Provider Name / Credentials Updated September 29, 2016

Recorded as IKECHI DIKE, NP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 29, 2016

Nurse Practitioner (License #006520 in CT)

🟢
Initial NPI Registration & Enumeration July 01, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104278118
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 01, 2016
Last Update: August 08, 2019
Sole Proprietor: No

Mailing Address

413 Pulaski Hwy Ste 201

Joppa, MD 210853625

Phone: 4105937556

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.