Mamadou Sadio Diallo, FNP
NPI 1164005104ActiveIndividual· Nurse Practitioner, Family· Havre De Grace, MD
Nurse Practitioner, Family (FNP) with Optimize Medical Group and 1 other group, practicing in Havre De Grace, Maryland. In 2024 Medicare paid $32,612 for 196 patients, and Part D covered 125 of their prescriptions, 84% of them generic.
Overview
| NPI | 1164005104 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP |
| Sole proprietor | Yes |
| NPI issued | Apr 28, 2021 |
| Last updated in NPPES | Apr 28, 2021 |
| Certified by provider | Apr 28, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | R221648 | MD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (DC); Practitioner - Nurse Practitioner (MD) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 196 |
|---|---|
| Services billed | 502 across 5 procedure codes |
| Paid by Medicare | $32,612 |
Part D prescriptions in 2024
| Prescriptions (claims) | 125 · 128 30-day fills |
|---|---|
| Patients | 36 |
| Total drug cost | $7,982 |
| Generic share | 84% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Optimize Medical GroupPikesville, MD · 32 clinicians
- MD Family Care LLCBel Air, MD · 2 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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