Active NPI
Abosede O Sobo, NURSE PRACTITIONER
- Family Nurse Practitioner
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1024843
- Practice address
- 4340 Connecticut Ave NW
Washington, DC 20008-2315 - Phone
- (202) 800-8647
- NPI assigned
- Oct 25, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R197836 | MD | |
| Family Nurse Practitioner | 363LF0000X | R197836 | VA | |
| Family Nurse Practitioner | 363LF0000X | 1024843 | DC | Primary |
Addresses
Primary practice location
4340 Connecticut Ave NW
Washington, DC 20008-2315
Mailing address
5603 Kaveh CT
Upper Marlboro, MD 20772-3681
Phone (240) 755-4903
Other practice location 1
7933 Belle Point Dr
Greenbelt, MD 20770-3329
Phone (240) 755-4903
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
15245 Shady Grove Rd
Suite 150
Rockville, MD 20850-7210
Phone (301) 869-9776
4340 Connecticut Ave NW
Washington, DC 20008-2315
Phone (301) 869-9776
6020 Richmond Hwy
Suite 102
Alexandria, VA 22303-2157
Phone (571) 308-6776
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.13 of 100
- Quality
- 90.26
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1024843 | DC | MD | Family Nurse Practitioner |
| R197836 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oasis Family Medical LLC | Family | Current | Accepting new patients |
| Oasis Comfort Homecare Inc | Current | Accepting new patients | |
| Capital Healthcare PC | Current | Accepting new patients | |
| Comprehensive Primary Care and Associates LLC | Current | Accepting new patients | |
| Capital Healthcare PC Dba Allcare | Past | Accepting new patients |
Locations
315 H St NE
Ste A
Washington, DC 20002
Phone (202) 975-0100
811 2nd St SE
Washington, DC 20003
Phone (202) 964-2202
1710 Rhode Island Ave NW
Washington, DC 20036
Phone (202) 787-1979
4340 Connecticut Ave NW
Washington, DC 20008
Phone (202) 800-8647
3500 Wisconsin Ave NW
Washington, DC 20016
Phone (202) 975-0070
4340 Connecticut Ave NW
Ste C
Washington, DC 20008
Phone (443) 393-3657
2554 Solomons Island Rd
Annapolis, MD 21401
Phone (703) 878-8800
7933 Belle Point Dr
Greenbelt, MD 20770
Phone (240) 755-4903
15825 Shady Grove Rd
Ste 140
Rockville, MD 20850
Phone (301) 519-2118
15245 Shady Grove Rd
Ste 150
Rockville, MD 20850
Phone (667) 303-1042
15245 Shady Grove Rd
Ste 340
Rockville, MD 20850
6020 Richmond Hwy
Ste 102
Alexandria, VA 22303
Phone (267) 978-1993
Interoperability endpoints
- abosede.sobo.1@15482.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Rockville, MD
- NPI 1831492586
DC
-
- Home Health Aide
- Greenbelt, MD
- NPI 1881532042
-
- Family Nurse Practitioner
- Greenbelt, MD
- NPI 1841079464
-
- Family Medicine Physician
- Woodbridge, VA
- NPI 1407162076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734048000000",
"number": "1073025458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5603 KAVEH CT",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207723681",
"telephone_number": "240-755-4903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4340 CONNECTICUT AVE NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200082315",
"telephone_number": "202-800-8647"
}
],
"practiceLocations": [
{
"address_1": "7933 Belle Point Dr",
"address_purpose": "LOCATION",
"city": "Greenbelt",
"state": "MD",
"postal_code": "207703329",
"country_code": "US",
"telephone_number": "240-755-4903",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOBO",
"first_name": "ABOSEDE",
"middle_name": "O",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-25",
"last_updated": "2024-12-13",
"certification_date": "2024-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R197836",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "R197836",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "DC",
"license": "1024843",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.