Individual provider Active NPI

Ogo Tunde-Sanya

  • Psychiatric/Mental Health Nurse Practitioner
  • Upper Marlboro, MD
National Provider Identifier
1043783046
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R208333 Issued in MD
Practice address
9520 Marlboro Pike Ste 201
Upper Marlboro, MD 20772-3666
Phone
(301) 957-7210
Fax
(301) 604-0731
NPI assigned
Jan 2, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R208333 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R208333 MD Primary

Addresses

Primary practice location

9520 Marlboro Pike Ste 201
Upper Marlboro, MD 20772-3666

Mailing address

14625 Baltimore Ave Ste 268
Laurel, MD 20707-4902
Phone (301) 957-7210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20201005001931 DC Practitioner - Nurse Practitioner 9830518232 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9520 Marlboro Pike
Suite 201
Upper Marlboro, MD 20772-3666
Phone (301) 957-7210

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R208333MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Services, Inc. CurrentSince Oct 23, 2020 Accepting new patients
Thrive Counseling LLC CurrentSince Sep 28, 2020 Accepting new patients
Family Services, Inc CurrentSince Oct 23, 2020 Accepting new patients
Premier Health Care LLC CurrentSince Oct 1, 2020 Accepting new patients
Metrix Healthcare Family CurrentSince Sep 1, 2021 Accepting new patients
Premier Health Care, LLC CurrentSince Oct 1, 2020 Accepting new patients
Bay Area Christian Counseling Past Accepting new patients

Locations

4401 East West Hwy
Ste 504
Bethesda, MD 20814
Phone (240) 513-3093

610 E Diamond Ave
Ste 100
Gaithersburg, MD 20877
Phone (301) 840-2000

12073 Tech Rd
Ste B
Silver Spring, MD 20904
Phone (240) 396-5873

9701 Apollo Dr
Ste 293
Upper Marlboro, MD 20774
Phone (240) 821-2195

9520 Pennsylvania Ave
Ste 201
Uppr Marlboro, MD 20772
Phone (301) 957-7210

6076 Franconia Rd
Ste D
Alexandria, VA 22310
Phone (703) 828-9054

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1546387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1043783046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14625 BALTIMORE AVE STE 268",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074902",
            "telephone_number": "301-957-7210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9520 MARLBORO PIKE STE 201",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207723666",
            "telephone_number": "301-957-7210",
            "fax_number": "301-604-0731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUNDE-SANYA",
        "first_name": "OGO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-02",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R208333",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R208333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

Verify at the official NPI Registry.