Oludapo Raphael Eludoyin, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R146815 Issued in MD

Practice address

7060 Oakland Mills Rd
Columbia, MD 21046-1694

Phone

(410) 491-0962

NPI assigned

Mar 13, 2020

Last updated

Jun 20, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, MD2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

24.12 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

80.41

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Complete Care at Springbrook LLC

  • Skilled Nursing Facility
  • Silver Spring, MD
  • NPI 1619682507

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

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.

• Destiny Healthcare and Wellness Limited Liability Company

  • Primary Care Clinic/Center
  • Columbia, MD
  • NPI 1356003743

  DC

  Medicare reassignment NPD Authorized official
• Juniper Healthcare LLC

  • Nurse Practitioner
  • Catonsville, MD
  • NPI 1346608171

  DC

  Medicare reassignment NPD

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

{
    "created_epoch": "1584057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1023644762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 CHARLES EDWARD TER",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455147",
            "telephone_number": "410-491-0962",
            "fax_number": "410-997-1820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7060 OAKLAND MILLS RD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461694",
            "telephone_number": "410-491-0962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELUDOYIN",
        "first_name": "OLUDAPO",
        "middle_name": "RAPHAEL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-13",
        "last_updated": "2022-06-20",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R146815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elmanda Maima Boakai Foundation, Inc (Elmanda Maima Boakai, Inc)
• Krista Lynn Elmore
• Rebecca Davis Elon, M.D.
• Elorm Health Services
• Rodaina Elsayed
• Justin Ely, LAC
• Mary Ely, RN
• Embrace Counseling Services
• Ronni F Emden, LCSW-C
• Sharon Emerald, BSN

• Family Nurse Practitioner in Columbia, MD
• Providers in Columbia, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.