Individual provider Active NPI

Solomon Ola Adekola

  • Geriatric Psychiatry Physician
  • Baltimore, MD
National Provider Identifier
1194426676
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
500019929 Issued in DC
Practice address
22 S Athol Ave
Baltimore, MD 21229-3405
Phone
(410) 947-3052
NPI assigned
Mar 13, 2023
Last updated
Oct 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R212962 MD
Geriatric Psychiatry Physician 2084P0805X 500019929 DC Primary

Addresses

Primary practice location

22 S Athol Ave
Baltimore, MD 21229-3405

Mailing address

3 Supreme CT
Owings Mills, MD 21117-1348
Phone (443) 642-1218

Other practice location 1

3 Supreme Ct
Owings Mills, MD 21117-1348
Phone (443) 642-1218

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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

Enrollment IDStateProvider typePAC IDDetails
I20230503002370 DC Practitioner - Nurse Practitioner 6103281753 Reassigns benefits to 1 organization
I20230509001121 MD Practitioner - Nurse Practitioner 6103281753 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
89.8 of 100Reported as group
Quality
75.8
Improvement activities
40
Cost
77.01

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
500019929DCMDGeriatric Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Neurobehavioral Associates, LLC Single Specialty CurrentSince Mar 2, 2024 Accepting new patients
Della Behavioral Health Services Single Specialty CurrentSince May 8, 2023 Accepting new patients
National Neurobehavioral Associates PC Single Specialty PastSince Dec 1, 2025 Accepting new patients

Locations

1 Pearl St
#1600A
Brockton, MA 02301
Phone 5089795557901

226 Field St
New Bedford, MA 02740
Phone (508) 213-1387

9841 Broken Land Pkwy
Ste 314
Columbia, MD 21046
Phone (410) 929-7225

1302 Cronson Blvd
Ste A
Crofton, MD 21114

Interoperability endpoints

  • Direct secure messaging: solomon.adekola.1@24284.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1194426676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SUPREME CT",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211171348",
            "telephone_number": "443-642-1218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 S ATHOL AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212293405",
            "telephone_number": "410-947-3052"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Supreme Ct",
            "address_purpose": "LOCATION",
            "city": "Owings Mills",
            "state": "MD",
            "postal_code": "211171348",
            "country_code": "US",
            "telephone_number": "443-642-1218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADEKOLA",
        "first_name": "SOLOMON",
        "middle_name": "OLA",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-13",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R212962",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "DC",
            "license": "500019929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.