Active NPI
Medcity Family Clinic LLC
- Family Nurse Practitioner
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- MEDCITY FAMILY CLINIC LLC
- Doing business as
- Medcity Family Clinic LLC
- Practice address
- 2509 Washington Blvd
Baltimore, MD 21230-1406 - Phone
- (443) 565-2408
- NPI assigned
- Aug 30, 2021
- Last updated
- Aug 12, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Faith Olubukola Adebule
- Title
- Ceo
- Phone
- (443) 623-3592
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NU | Primary |
Addresses
Primary practice location
2509 Washington Blvd
Baltimore, MD 21230-1406
Mailing address
2509 Washington Blvd
Baltimore, MD 21230-1406
Phone (443) 835-4228
Other names 1
- Medcity Family Clinic LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D2255107 | Medcity Family Clinic LLC | Certificate of waiver | Mar 9, 2028 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Linthicum Heights, MD
- NPI 1700452661
Member Of
Locations
2509 Washington Blvd
#1
Baltimore, MD 21230
Phone (443) 565-2408
Interoperability endpoints
- https://api.platform.athenahealth.com/24961/brand/1/csg/1/fhir/r4
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.
-
- Professional Counselor
- Linthicum Heights, MD
- NPI 1306404058
-
- Primary Care Nurse Practitioner
- Baltimore, MD
- NPI 1598364192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630281600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786492800000",
"number": "1093482705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2509 WASHINGTON BLVD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212301406",
"telephone_number": "443-835-4228",
"fax_number": "301-369-8694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2509 WASHINGTON BLVD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212301406",
"telephone_number": "443-565-2408"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDCITY FAMILY CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-30",
"last_updated": "2026-08-12",
"certification_date": "2026-08-12",
"status": "A",
"authorized_official_last_name": "ADEBULE",
"authorized_official_first_name": "FAITH",
"authorized_official_middle_name": "OLUBUKOLA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "443-623-3592"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Medcity Family Clinic LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.