Individual provider Active NPI

Babajide Ayodeji Obadina, M.D.

  • Internal Medicine Physician
  • Greenbelt, MD
National Provider Identifier
1215910054
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0041039 Issued in MD
Practice address
7325 Hanover Pkwy
Suite a
Greenbelt, MD 20770-3618
Phone
(301) 345-3966
Fax
(301) 982-2937
NPI assigned
Nov 25, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0041039 MD Primary

Addresses

Primary practice location

7325 Hanover Pkwy
Suite a
Greenbelt, MD 20770-3618

Mailing address

7325 Hanover Pkwy
Suite a
Greenbelt, MD 20770-3618
Phone (301) 345-3966

Other identifiers 12

IdentifierTypeStateIssuer
52938102OtherMDCAREFIRST OF MD
821401OtherMDOPTIMUM CHOICE
821401OtherMDMDIPA
821401OtherMDONENET PPO
12962OtherMHPRIORITY PARTNERS
C500-0001OtherDCCAREFIRST OF DC
016608OtherMDANTHEM BLUE CROSS
4534825OtherMDAETNA
497105OtherMDNCPPO
821401OtherMDMAMSI LIFE AND HEALTH
03062OtherMDAMERIGROUP
0401304OtherMDUNITED HEALTHCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100603000123 DC Practitioner - Internal Medicine 6103954524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bethel Medical Clinic CharteredGroup PAC ID 1850429275, 2 clinicians

Practice addresses (Care Compare)

7325 Hanover Pkwy
Suite a
Greenbelt, MD 20770-3618
Phone (301) 345-3966

7325 Hanover Pkwy a
Greenbelt, MD 20770-3618

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0041039MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bethel Medical Clinic Chartered Internal Medicine CurrentSince Apr 16, 1994 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

7325 Hanover Pkwy
Ste A
Greenbelt, MD 20770
Phone (301) 220-1827

Interoperability endpoints

  • Direct secure messaging: babajide.obadinamd.p2@direct.msmg.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1132876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215910054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7325 HANOVER PKWY",
            "address_2": "SUITE A",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703618",
            "telephone_number": "301-345-3966",
            "fax_number": "301-982-2937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7325 HANOVER PKWY",
            "address_2": "SUITE A",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703618",
            "telephone_number": "301-345-3966",
            "fax_number": "301-982-2937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBADINA",
        "first_name": "BABAJIDE",
        "middle_name": "AYODEJI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0041039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST OF MD",
            "identifier": "52938102",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMUM CHOICE",
            "identifier": "821401",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDIPA",
            "identifier": "821401",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ONENET PPO",
            "identifier": "821401",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIORITY PARTNERS",
            "identifier": "12962",
            "state": "MH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST OF DC",
            "identifier": "C500-0001",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "016608",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4534825",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPPO",
            "identifier": "497105",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI LIFE AND HEALTH",
            "identifier": "821401",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "03062",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0401304",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

Verify at the official NPI Registry.