Fulera Healthcare LLC
NPI 1184450157 · Clinic/Center · Baltimore, MD
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fulera Healthcare LLC is a Clinic/Center organization in Baltimore, MD (NPI 1184450157).
Provider details
- NPI number
- 1184450157
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Iddrisu Tia, Owner(301) 793-8201
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-09-09
- Last updated
- 2024-09-09
- Certified
- 2024-09-09
Frequently asked questions
- What is Fulera Healthcare LLC's NPI number?
- Fulera Healthcare LLC's National Provider Identifier (NPI) is 1184450157, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fulera Healthcare LLC?
- Fulera Healthcare LLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Fulera Healthcare LLC located?
- Fulera Healthcare LLC's practice location on file with NPPES is 4108 Maine Ave, Baltimore, MD 21207-7503.
- What is Fulera Healthcare LLC's phone number?
- The practice phone number listed in the NPPES registry for Fulera Healthcare LLC is (301) 793-8201.
- Does Fulera Healthcare LLC accept Medicare?
- Fulera Healthcare LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Fulera Healthcare LLC?
- The authorized official listed on Fulera Healthcare LLC's NPPES record is Iddrisu Tia, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fulera Healthcare LLC's NPI active?
- Yes — Fulera Healthcare LLC's NPI (1184450157) is active in the NPPES registry as of the last update on 2024-09-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.