Active NPI
Omolola Oluwaseun Ogungbile, CRNP
- Nurse Practitioner
- Pasadena, MD
National Provider Identifier
1073491106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R191701
- Practice address
- 8015 Apple Valley Dr
Pasadena, MD 21122-4174 - Phone
- (410) 841-9998
- NPI assigned
- Aug 26, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R191701 | MD | Primary |
Addresses
Primary practice location
8015 Apple Valley Dr
Pasadena, MD 21122-4174
Mailing address
7736 Rotherham Dr
Hanover, MD 21076-1460
Phone (410) 841-9998
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
760 Chessie Crossing Way
Woodbine, MD 21797-8768
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R191701 | MD | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Onsite Medical House Calls | Current | Accepting new patients | |
| Onsite Medical Palliative Care LLC | Nurse Practitioner | Current | Accepting new patients |
Interoperability endpoints
- lola.ogungbile.1@17833.direct.athenahealth.com
- https://api.platform.athenahealth.com/17833/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- Nurse Practitioner
- Woodbine, MD
- NPI 1124695143
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Adoration Home Health Baltimore
- Home Health Agency
- Baltimore, MD
- NPI 1912692484
-
- Home Health Agency
- Forest Hill, MD
- NPI 1528352747
-
- Home Health Agency
- Columbia, MD
- NPI 1558680447
-
- Home Health Agency
- Glen Burnie, MD
- NPI 1578501789
-
- Home Health Agency
- Towson, MD
- NPI 1902843451
-
dba CenterWell Home Health
- Home Health Agency
- Columbia, MD
- NPI 1922035880
-
- Community Based Hospice Care Agency
- Pasadena, MD
- NPI 1386622595
-
dba MedStar Health Home Care
- Home Health Agency
- Baltimore, MD
- NPI 1790899524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756166400000",
"number": "1073491106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7736 ROTHERHAM DR",
"city": "HANOVER",
"state": "MD",
"postal_code": "210761460",
"telephone_number": "410-841-9998",
"fax_number": "410-841-9998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8015 APPLE VALLEY DR",
"city": "PASADENA",
"state": "MD",
"postal_code": "211224174",
"telephone_number": "410-841-9998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OGUNGBILE",
"first_name": "OMOLOLA",
"middle_name": "OLUWASEUN",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-26",
"last_updated": "2025-08-26",
"certification_date": "2025-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MD",
"license": "R191701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; 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.