Oluwakemi Ajide, M.D.
Individual provider Active NPI Family Medicine Physician · Nottingham, MD
NPI 1184919151 · NPPES record last updated May 28, 2021
Key facts
- NPI
- 1184919151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- D0077598 (MD)
- Practice address
- 4920 Campbell Blvd
Nottingham, MD 21236-5916 - Phone
- (410) 933-7600
- NPI assigned
- Jun 17, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 17
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- George Washington University School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
Practice addresses (Care Compare)
4920 Campbell Blvd
Nottingham, MD 21236-5916
Phone (410) 933-7600
6701 N Charles St
Baltamore, MD 21204-6808
Phone (443) 849-2000
7070 Samuel Morse Dr
Columbia, MD 21046-3424
Phone (410) 309-4600
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141006000519 | MD | Practitioner - Family Practice | 4688894181 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0077598 | MD | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current |
Accepting new patients | |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current | Accepting new patients |
Locations
7070 Samuel Morse Dr
Columbia, MD 21046
Phone (410) 309-4600
7190 Crestwood Blvd
Frederick, MD 21703
Phone (240) 529-1700
4920 Campbell Blvd
Ste 103
Nottingham, MD 21236
4920 Campbell Blvd
Nottingham, MD 21236
Phone (410) 933-7600
2101 E Jefferson St
Ste 6WPPQA
Rockville, MD 20852
Phone (301) 816-5853
2101 E Jefferson St
#4E
Rockville, MD 20852
6701 N Charles St
Towson, MD 21204
Phone (443) 849-2000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D0077598 | MD | Yes |
Addresses
Primary practice location
4920 Campbell Blvd
Nottingham, MD 21236-5916
Mailing address
4920 Campbell Blvd Ste 103
Nottingham, MD 21236-5916
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggateways | Health Information Exchange (HIE) |
Other providers in Nottingham, MD
- Agape Physical Therapy & Sports Rehabilitation LP
- Agaton H. Escalante, MD, LLC
- Sarah Aidoo
- Air Support Therapies Inc
- Olusola Samuel Aiyenuro
- Akeso Orafacial Maxillary Surgery
- Sylvianne Akum
- Michael Arends Alksnis
- Ania Allen
- Margot Allen
All providers in Nottingham, MD · Family Medicine Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 28, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.