Individual provider Active NPI

Oluwatimilehin Ugbade, FNP

  • Family Nurse Practitioner
  • Brandywine, MD
National Provider Identifier
1033766969
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R217425 Issued in MD
Practice address
7651 Matapeake Business Dr Ste 212
Brandywine, MD 20613-3038
Phone
(301) 876-4884
Fax
(301) 828-2699
NPI assigned
Aug 26, 2019
Last updated
Sep 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R217425 MD Primary

Addresses

Primary practice location

7651 Matapeake Business Dr Ste 212
Brandywine, MD 20613-3038

Mailing address

7651 Matapeake Business Dr Ste 212
Brandywine, MD 20613-3038
Phone (301) 876-4884

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20201016000028 DC Practitioner - Nurse Practitioner 7416377296 Reassigns benefits to 2 organizations
I20210913000337 MD Practitioner - Nurse Practitioner 7416377296 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R217425MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince Jan 1, 2026 Accepting new patients
Medstar Medical Group II LLC CurrentSince Jan 1, 2026 Accepting new patients
Hervolve Wellness LLC CurrentSince Oct 2, 2025 Accepting new patients

Locations

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

7651 Matapeake Business Dr
Ste 212
Brandywine, MD 20613
Phone (301) 404-2245

Interoperability endpoints

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

Organizations & group practices 3

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": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1033766969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7651 MATAPEAKE BUSINESS DR STE 212",
            "city": "BRANDYWINE",
            "state": "MD",
            "postal_code": "206133038",
            "telephone_number": "301-876-4884",
            "fax_number": "301-828-2699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7651 MATAPEAKE BUSINESS DR STE 212",
            "city": "BRANDYWINE",
            "state": "MD",
            "postal_code": "206133038",
            "telephone_number": "301-876-4884",
            "fax_number": "301-828-2699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UGBADE",
        "first_name": "OLUWATIMILEHIN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-26",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R217425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandywine, MD

Sources for this page

Verify at the official NPI Registry.