Individual provider Active NPI

Abosede O Sobo, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Washington, DC
National Provider Identifier
1073025458
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1024843 Issued in DC
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

Updated by the provider on Dec 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171228000142 DC Practitioner - Nurse Practitioner 9133487903 Reassigns benefits to 2 organizations

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
Comprehensive Primary Care and Associates LLCGroup PAC ID 5092991984, 167 clinicians
Capital Healthcare PCGroup PAC ID 3779723309, 102 clinicians

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 100Reported as apm
Quality
90.26
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1024843DCMDFamily Nurse Practitioner
R197836VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oasis Family Medical LLC Family CurrentSince Jan 1, 2024 Accepting new patients
Oasis Comfort Homecare Inc Current Accepting new patients
Capital Healthcare PC CurrentSince Jul 1, 2024 Accepting new patients
Comprehensive Primary Care and Associates LLC CurrentSince Nov 1, 2025 Accepting new patients
Capital Healthcare PC Dba Allcare PastSince Nov 3, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.