Individual provider

Mamadou Diallo, FNP

Family Nurse Practitioner Medicare enrolled

Mamadou Diallo, FNP is a Family Nurse Practitioner in Havre De Grace, MD, registered under NPI 1164005104. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 504 LEWIS ST, Havre De Grace, MD 21078. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

504 LEWIS ST, Havre De Grace, MD 21078 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
R221648 MD Family Nurse Practitioner primary

This provider holds licence R221648 issued in MD. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Nurse Practitioner
PAC ID
5799123832

Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Family covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1164005104 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateApr 28, 2021
Last updatedApr 28, 2021
StatusActive
Sole proprietorYes
CredentialFNP
Practice address 504 LEWIS ST
Havre De Grace, MD 21078
(443) 502-5311
Mailing address 1344 TRALEE CIR
Aberdeen, MD 21001
The last update on file is Apr 28, 2021. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1164005104 passes the NPI check digit test The final digit 4 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 6 4 0 0 5 1 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 3 4 0 0 1 1 0

Sum = 36 · next multiple of 10 = 40 · check digit = 4 · actual last digit = 4

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1164005104?
NPI 1164005104 is the National Provider Identifier assigned to Mamadou Diallo, FNP in Havre De Grace, MD. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Family cover?
Definition to come...
How do I contact Mamadou Diallo, FNP?
The phone number on file with NPPES is (443) 502-5311, last updated Apr 28, 2021. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Mamadou Diallo, FNP accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1164005104 a valid number?
Yes. 1164005104 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.