Individual provider Active NPI

Adefolaju Oketokun, MD

  • General Practice Physician
  • Washington, DC
National Provider Identifier
1003005661
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
0101262019 Issued in VA
Practice address
1629 K Street NW
Suite 300
Washington, DC 20006-1631
Phone
(202) 636-1360
Fax
(202) 636-5137
NPI assigned
Oct 19, 2007
Last updated
Sep 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Internal Medicine) Physician 207RA0401X D0084292 MD
Clinic/Center 261Q00000X MD 038372 DC
Addiction Medicine (Internal Medicine) Physician 207RA0401X 0101262019 VA
Durable Medical Equipment & Medical Supplies 332B00000X MD038372 DC
General Practice Physician 208D00000X 0101262019 VA Primary
General Practice Physician 208D00000X MD038372 DC
Clinic/Center 261Q00000X MD430487 PA
Urgent Care Clinic/Center 261QU0200X MD 038372 DC
General Practice Physician 208D00000X C1-0008405 DE
Addiction Medicine (Internal Medicine) Physician 207RA0401X MD038372 DC

Addresses

Primary practice location

1629 K Street NW
Suite 300
Washington, DC 20006-1631

Mailing address

PO Box 91280
Washington, DC 20090-1280
Phone (202) 636-5136

Other practice location 1

5820 Dix St NE
Washington, DC 20019-6965
Phone (202) 636-5136

Other practice location 2

14520 Richmond Hwy
Woodbridge, VA 22191-2808
Phone (703) 497-1234

Other identifiers 1

IdentifierTypeStateIssuer
040597500MedicaidDC

Other names 1

  • Dr. Adefolaju Olufuwa Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100917000294 DC Practitioner - General PracticePractitioner - Pain ManagementPractitioner - Sleep MedicinePractitioner - Preventive Medicine 3971628603 Reassigns benefits to 1 organization
I20251031001411 VA Practitioner - General Practice 3971628603 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tru Health Group PCGroup PAC ID 6406216183, 29 clinicians

Practice addresses (Care Compare)

14520 Richmond Hwy
Woodbridge, VA 22191-2808
Phone (301) 428-1070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0084292MDMDAddiction Medicine (Internal Medicine) Physician
MD038372DCMDGeneral Practice Physician
C1-0008405DEMDGeneral Practice Physician
0101262019VAMDGeneral Practice Physician
MD 038372DCMDClinic/Center
MD430487PAMDClinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Access P.C. Clinic/Center Current Accepting new patients
Tru Health Group, PC Clinic/Center CurrentSince Sep 1, 2025 Accepting new patients
Manbir Takhar, P.C. Clinic/Center CurrentSince Sep 1, 2025 Accepting new patients
Reliance Health Services PC Urgent Care Past Accepting new patients

Locations

12321 Middlebrook Rd
Ste 101
Germantown, MD 20874
Phone 3014281070260

12321 Middlebrook Rd
Ste 102
Germantown, MD 20874
Phone (301) 428-3192

7598 Telegraph Rd
Alexandria, VA 22315
Phone (703) 778-0400

531 E Market St
Ste D
Leesburg, VA 20176
Phone (301) 427-1070

14520 Richmond Hwy
Woodbridge, VA 22191
Phone (703) 497-1234

Interoperability endpoints

  • Direct secure messaging: adefolaju.oketokun.1@20907.direct.athenahealth.com
  • FHIR API: https://fhir-myrecord-sc.cerner.com/r4/29d5e7f6-9579-4aa3-8893-01210e29a651/
  • FHIR API: https://fhir-myrecord.cerner.com/r4/f71725f4-8a5d-45dc-9e68-6ddbc583dfb3/
  • FHIR API: https://fhir4.healow.com/fhir/r4/IGIFAD

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1003005661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91280",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200901280",
            "telephone_number": "202-636-5136",
            "fax_number": "202-636-5137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1629 K STREET NW",
            "address_2": "SUITE 300",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200061631",
            "telephone_number": "202-636-1360",
            "fax_number": "202-636-5137"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5820 Dix St NE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200196965",
            "country_code": "US",
            "telephone_number": "202-636-5136",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14520 Richmond Hwy",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221912808",
            "country_code": "US",
            "telephone_number": "703-497-1234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKETOKUN",
        "first_name": "ADEFOLAJU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-19",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "MD",
            "license": "D0084292",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "DC",
            "license": "MD 038372",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "VA",
            "license": "0101262019",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "DC",
            "license": "MD038372",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0101262019",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "DC",
            "license": "MD038372",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PA",
            "license": "MD430487",
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "DC",
            "license": "MD 038372",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "DE",
            "license": "C1-0008405",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "DC",
            "license": "MD038372",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "040597500",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADEFOLAJU",
            "last_name": "OLUFUWA",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.