Active NPI
Proactive Healthcare Services LLC
- Primary Care Clinic/Center
- Glenn Dale, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- PROACTIVE HEALTHCARE SERVICES LLC
- Practice address
- 7023 Corner Creek Way
Glenn Dale, MD 20769-9472 - Phone
- (227) 218-8737
- NPI assigned
- Dec 3, 2025
- 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
- Oluwabusuyi Ogunsola
- Title
- President
- Phone
- (227) 218-8737
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 |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
7023 Corner Creek Way
Glenn Dale, MD 20769-9472
Mailing address
7023 Corner Creek Way
Glenn Dale, MD 20769-9472
Phone (227) 218-8737
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Glenn Dale, MD
- NPI 1982459335
O20240604000551
National Provider Directory
National Provider Directory- Tax ID family
- Proactive Healthcare Services LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Glenn Dale, MD
- NPI 1982459335
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Largo, MD
- NPI 1629794821
-
- Psychiatric/Mental Health Nurse Practitioner
- Baltimore, MD
- NPI 1164148367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1764720000000",
"number": "1124981592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7023 CORNER CREEK WAY",
"city": "GLENN DALE",
"state": "MD",
"postal_code": "207699472",
"telephone_number": "227-218-8737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7023 CORNER CREEK WAY",
"city": "GLENN DALE",
"state": "MD",
"postal_code": "207699472",
"telephone_number": "227-218-8737"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROACTIVE HEALTHCARE SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-03",
"last_updated": "2025-12-03",
"certification_date": "2025-12-03",
"status": "A",
"authorized_official_last_name": "OGUNSOLA",
"authorized_official_first_name": "OLUWABUSUYI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "227-218-8737"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glenn Dale, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.