Active NPI
Olayiwola Akeem Bolaji, MD
- Internal Medicine Physician
- Bel Air, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D0100339
- Practice address
- 500 Upper Chesapeake Dr
Bel Air, MD 21014-4324 - Phone
- (443) 643-1000
- NPI assigned
- Mar 19, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
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.
-
- Hospitalist Physician
- Frederick, MD
- NPI 1992945471
Internal Medicine, MD
-
- Internal Medicine Physician
- Frederick, MD
- NPI 1306644190
Internal Medicine
-
- Internal Medicine Physician
- Frederick, MD
- NPI 1366240111
Internal Medicine
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1639209596
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- General Physician PC
Practice addresses (Care Compare)
100 High St
Buffalo, NY 14203-1126
Phone (716) 884-3000
Hospital & facility affiliations
- Kaleida Health
- Atlantic General Hospital
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Medicare enrollment records 2
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240807003795 | MD | Practitioner - Internal Medicine | 2769929793 | Reassigns benefits to 1 organization |
| I20251031001036 | NY | Practitioner - Internal Medicine | 2769929793 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 330941 | NY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| General Physician, PC | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Maryland PC | Internal Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Maryland PC | Internal Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Maryland PC | Internal Medicine | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Kaleida Health | Past | Accepting new patients |
Locations
400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300
100 High St
#D1
Buffalo, NY 14203
Phone (716) 422-0010
3898 Vineyard Dr
Dunkirk, NY 14048
Phone (716) 363-1515
1540 Maple Rd
Williamsville, NY 14221
Phone (716) 568-3514
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | D0100339 | MD | |
| Internal Medicine Physician | 207R00000X | D0100339 | MD | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
500 Upper Chesapeake Dr
Bel Air, MD 21014-4324
Mailing address
6201 Greenleigh Ave
Middle River, MD 21220-2004
Phone (410) 933-6423
Other practice location 1
506 6th St
Brooklyn, NY 11215-3609
Phone (718) 780-3000
Other practice location 2
1800 Orleans Street
Baltimore, MD 21264-4324
Phone (410) 502-2037
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 6, 2024.
{
"created_epoch": "1552953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725580800000",
"number": "1124587175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6201 GREENLEIGH AVE",
"city": "MIDDLE RIVER",
"state": "MD",
"postal_code": "212202004",
"telephone_number": "410-933-6423",
"fax_number": "410-500-4266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 UPPER CHESAPEAKE DR",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210144324",
"telephone_number": "443-643-1000"
}
],
"practiceLocations": [
{
"address_1": "506 6th St",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112153609",
"country_code": "US",
"telephone_number": "718-780-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1800 Orleans Street",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212644324",
"country_code": "US",
"telephone_number": "410-502-2037",
"fax_number": "410-955-0737",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOLAJI",
"first_name": "OLAYIWOLA",
"middle_name": "AKEEM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-19",
"last_updated": "2024-09-06",
"certification_date": "2024-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MD",
"license": "D0100339",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D0100339",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bel Air, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.