Active NPI
Adefolaju Oketokun, MD
- General Practice Physician
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 0101262019
- 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, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 040597500 | Medicaid | DC |
Other names 1
- Dr. Adefolaju Olufuwa
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| D0084292 | MD | MD | Addiction Medicine (Internal Medicine) Physician |
| MD038372 | DC | MD | General Practice Physician |
| C1-0008405 | DE | MD | General Practice Physician |
| 0101262019 | VA | MD | General Practice Physician |
| MD 038372 | DC | MD | Clinic/Center |
| MD430487 | PA | MD | Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Access P.C. | Clinic/Center | Current | Accepting new patients |
| Tru Health Group, PC | Clinic/Center | Current | Accepting new patients |
| Manbir Takhar, P.C. | Clinic/Center | Current | 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
- adefolaju.oketokun.1@20907.direct.athenahealth.com
- https://fhir-myrecord-sc.cerner.com/r4/29d5e7f6-9579-4aa3-8893-01210e29a651/
- https://fhir-myrecord.cerner.com/r4/f71725f4-8a5d-45dc-9e68-6ddbc583dfb3/
- 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.
-
dba Reliance Synergy
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Washington, DC
- NPI 1386959757
-
- Urgent Care Clinic/Center
- Washington, DC
- NPI 1982948600
-
- Sleep Disorder Diagnostic Clinic/Center
- Washington, DC
- NPI 1538583612
-
- Community/Behavioral Health Agency
- Washington, DC
- NPI 1225540214
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.