NPIMap

Organization Active NPI

Oasis Health Ventures LLC

  • Adult Medicine Physician
  • Windsor Mill, MD
National Provider Identifier
1053181644
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
OASIS HEALTH VENTURES LLC
Practice address
2500 N Rolling Rd
Windsor Mill, MD 21244-1990
Phone
(443) 272-2614
Fax
(443) 272-2664
NPI assigned
Jan 4, 2024
Last updated
Jan 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Authorized official

Name
Olufemi OlawaleNPI 1497272777
Title
NP
Phone
(443) 272-2614

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X Primary

Addresses

Primary practice location

2500 N Rolling Rd
Windsor Mill, MD 21244-1990

Mailing address

2500 N Rolling Rd
Windsor Mill, MD 21244-1990
Phone (443) 272-2614

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190205001230 MD Part B Supplier - Clinic/Group Practice 1153669874 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Baltimore, MD; Windsor Mill, MD

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Oasis Health Ventures6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2500 N Rolling Rd
Windsor Mill, MD 21244
Phone (443) 272-2614

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1704326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1053181644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 N ROLLING RD",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212441990",
            "telephone_number": "443-272-2614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N ROLLING RD",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212441990",
            "telephone_number": "443-272-2614",
            "fax_number": "443-272-2664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OASIS HEALTH VENTURES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-04",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A",
        "authorized_official_last_name": "OLAWALE",
        "authorized_official_first_name": "OLUFEMI",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "443-272-2614"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor Mill, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.