Olajumoke Omowunmi Rotimi

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R231020 Issued in MD

Practice address

9609 Mason LN
Laurel, MD 20723-1907

Phone

(240) 463-3365

NPI assigned

May 13, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, VA2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Backpack Medical Group, P.C. 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Rotizen, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbia, MD
  • NPI 1629799341

  MD, Psychiatric/Mental Health

  Medicare reassignment NPD Authorized official
• Backpack Medical Group, P.C.

  • Clinical Social Worker
  • Elkridge, MD
  • NPI 1851177570

  MD, VA

  Medicare reassignment Care Compare group
• Brighter Hope Wellness Center

  • Clinical Psychologist
  • Clarksville, MD
  • NPI 1881192664

  MD

  Medicare reassignment NPD
• Developmental Community Services Inc

  • Community/Behavioral Health Agency
  • Frederick, MD
  • NPI 1194516716

  MD

  Medicare reassignment NPD

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

{
    "created_epoch": "1652400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1104563006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9609 MASON LN",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207231907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9609 MASON LN",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207231907",
            "telephone_number": "240-463-3365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTIMI",
        "first_name": "OLAJUMOKE",
        "middle_name": "OMOWUNMI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-13",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R231020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neil Ira Rosenman, MD
• Jill C Rosenstock, M.D.
• Roseu Medical Center, LLC
• Bonnie Jean Rosiak, PHARMD
• Rufus Rosser Jr., M.D.
• Royal Healthcare Services, LLC.
• Cecilia Royster
• Majella Ruadap-Planta, PT
• Larry Allan Rubin, O.D.
• J'Aine Rudolph

• All providers in Laurel, MD
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.

Verify at the official NPI Registry.