Samson Olanrewaju Arigbamu, CRNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

R161520 Issued in MD

Practice address

10451 Mill Run Cir Ste 730
Owings Mills, MD 21117-5669

Phone

(410) 303-0057

Fax

(410) 358-4938

NPI assigned

Oct 13, 2017

Sex

Male

Sole proprietor

Yes

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 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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Suyi Park MD and Associates PAGroup PAC ID 2062478159, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JEBJDD/Endpoint/JEBJDD

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

• Suyi Park, MD & Associates, PA

  • Internal Medicine Physician
  • Baltimore, MD
  • NPI 1982876959
  Medicare reassignment Care Compare group NPD
• Upsurge Health Services LLC

  • Gerontology Nurse Practitioner
  • Owings Mills, MD
  • NPI 1275381964
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1507852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1033620398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 SETON DRIVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21215",
            "telephone_number": "410-358-3410",
            "fax_number": "410-358-4938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10451 MILL RUN CIR STE 730",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175669",
            "telephone_number": "410-303-0057",
            "fax_number": "410-358-4938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARIGBAMU",
        "first_name": "SAMSON",
        "middle_name": "OLANREWAJU",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-13",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MD",
            "license": "R161520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arete HHC Therapies LLC
• Arete Home Health Care, LLC (Arete HHC)
• Kidist Tamirat Arficho, M.D.
• Aridave for Community Development Inc
• Michael Ariete, P.T.
• Jonathan David Arndt, MBA, LAT, ATC
• Mindy Aron
• Yehudis Aron
• Rasnik Arora, MA, LCPC
• Linda Arthur

• Gerontology Nurse Practitioner in Owings Mills, MD
• Providers in Owings Mills, MD by specialty
• Gerontology Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.

Verify at the official NPI Registry.