Active NPI
Adebola A Adejuwon, NP
- Family Nurse Practitioner
- Frederick, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R220058
- Practice address
- 178 Thomas Johnson Dr
Frederick, MD 21702-4386 - Phone
- (301) 673-1901
- NPI assigned
- Feb 13, 2019
- Last updated
- May 21, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R220058 | MD | Primary |
| Family Nurse Practitioner | 363LF0000X | RN1033944 | DC |
Addresses
Primary practice location
178 Thomas Johnson Dr
Frederick, MD 21702-4386
Mailing address
178 Thomas Johnson Dr Ste 204L
Frederick, MD 21702-4352
Phone (301) 673-1901
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN1033944 | DC | MD | Family Nurse Practitioner |
| R220058 | MD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matclinic Physicians Practice Group LLC | Current | Accepting new patients | |
| Matclinic Physicians Practice Group LLC | Current | Accepting new patients | |
| Matclinic Physicians Practice Group LLC | Current | Accepting new patients | |
| Center for Pain Management, LLC | Current | Accepting new patients | |
| Vertex Health LLC | Past | Accepting new patients |
Locations
940 Seton Dr
Cumberland, MD 21502
Phone (301) 777-2543
40 S Dundalk Ave
Ste 400
Dundalk, MD 21222
Phone (410) 220-0270
1600 Crain Hwy S
Ste 301
Glen Burnie, MD 21061
Phone (410) 760-1400
1150 Professional Ct
Ste P
Hagerstown, MD 21740
Phone (301) 665-9696
11350 McCormick Rd
Ste 501
Hunt Valley, MD 21031
Phone (410) 329-1071
601 7th St
Ste 304
Laurel, MD 20707
Phone (410) 220-0280
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Interventional Pain Medicine Physician
- Hagerstown, MD
- NPI 1962463265
-
- Addiction Medicine (Internal Medicine) Physician
- Dundalk, MD
- NPI 1104375294
-
- Primary Care Clinic/Center
- Frederick, MD
- NPI 1740092881
-
- Addiction Medicine (Internal Medicine) Physician
- Laurel, MD
- NPI 1194217091
-
- Addiction (Substance Use Disorder) Counselor
- Dundalk, MD
- NPI 1801448360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779321600000",
"number": "1174089239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "178 THOMAS JOHNSON DR STE 204L",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217024352",
"telephone_number": "301-673-1901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "178 THOMAS JOHNSON DR",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217024386",
"telephone_number": "301-673-1901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADEJUWON",
"first_name": "ADEBOLA",
"middle_name": "A",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-13",
"last_updated": "2026-05-21",
"certification_date": "2026-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R220058",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "DC",
"license": "RN1033944",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.