Oluwatimilehin Ugbade, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R217425 Issued in MD

Practice address

3559 Boston St
Baltimore, MD 21224-5750

Phone

(410) 246-8516

NPI assigned

Aug 26, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

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

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.

• Hervolve Wellness LLC

  • Primary Care Clinic/Center
  • Brandywine, MD
  • NPI 1619760899

  DC

  Medicare reassignment NPD Authorized official
• Medstar Medical Group II LLC

  • General Practice Physician
  • Baltimore, MD
  • NPI 1184046187

  DC

  Medicare reassignment NPD
• Medstar Medical Group II LLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Washington, DC
  • NPI 1205562816
  NPD

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1033766969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3559 BOSTON ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212245750",
            "telephone_number": "410-246-8516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3559 BOSTON ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212245750",
            "telephone_number": "410-246-8516"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Main St",
            "address_purpose": "LOCATION",
            "city": "Laurel",
            "state": "MD",
            "postal_code": "207074114",
            "country_code": "US",
            "telephone_number": "301-377-0577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UGBADE",
        "first_name": "OLUWATIMILEHIN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-26",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R217425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MBON",
            "identifier": "R217425",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ogochukwu Ufio, MD
• Ufomadu & Associates Inc
• Chukwuemeka C Ufomadu, MD
• Ana Lorena Ugalde
• Richard Ugarte, M.D.
• Chioma Ugbam, MSN,MPH,CRNP, PMHNP
• Bo Vincent Ugbinar, PT
• Adaobi Ugochukwu
• Laserian Ndubisi Ugoh
• Florence Ugokwe

• Family Nurse Practitioner in Baltimore, MD
• Providers in Baltimore, 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 Aug 2, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.