Tabot Bisong Ayuk
Case Manager/Care Coordinator in Riverdale, MD. Individual provider (NPI-1).
NPI number1508640764
StatusActive
Last updated in NPPESMay 27, 2026
Details
- NPI
- 1508640764
- Entity type
- Individual (NPI-1)
- Name
- Tabot Bisong Ayuk
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 21, 2023
- Certification date
- May 27, 2026
- Last updated
- May 27, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | DC | Yes |
| 374U00000X | Home Health Aide | – | DC |
Practice location
5409 Riverdale Rd Apt B2Riverdale, MD 20737-2369
Phone 301-467-0042
Mailing address
5409 Riverdale Rd Apt B2Riverdale, MD 20737-2369
Phone 301-467-0042
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 21 Case Manager/Care Coordinator providers in Riverdale · All 617 providers in Riverdale
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