Individual provider Active NPI

Kayode Ogunbode

  • Community Health Worker
  • Capitol Heights, MD
National Provider Identifier
1043572183
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Practice address
5628 Prescott CT
Capitol Heights, MD 20743-3048
Phone
(240) 305-3410
NPI assigned
Jun 14, 2012
Last updated
May 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X
Community Health Worker 172V00000X Primary

Addresses

Primary practice location

5628 Prescott CT
Capitol Heights, MD 20743-3048

Mailing address

5628 Prescott CT
Capitol Heights, MD 20743-3048
Phone (240) 305-3410

Other practice location 1

2103 Elmwood Park Dr
Capitol Heights, MD 20743-5030
Phone (240) 305-3410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1043572183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5628 PRESCOTT CT",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "207433048",
            "telephone_number": "240-305-3410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5628 PRESCOTT CT",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "207433048",
            "telephone_number": "240-305-3410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2103 Elmwood Park Dr",
            "address_purpose": "LOCATION",
            "city": "Capitol Heights",
            "state": "MD",
            "postal_code": "207435030",
            "country_code": "US",
            "telephone_number": "240-305-3410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OGUNBODE",
        "first_name": "KAYODE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-14",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Capitol Heights, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.