Active NPI
Babarinde Olagoke Fadirepo, MD
- Family Medicine Physician
- Edgewater, MD
National Provider Identifier
1225228117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD044103
- Practice address
- 3059 Solomons Island Rd
Suite F-2
Edgewater, MD 21037-1433 - Phone
- (410) 956-3394
- Fax
- (410) 956-3324
- NPI assigned
- Jul 27, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 Medicine Physician | 207Q00000X | D68198 | MD | |
| Family Medicine Physician | 207Q00000X | MD044103 | DC | Primary |
Addresses
Primary practice location
3059 Solomons Island Rd
Suite F-2
Edgewater, MD 21037-1433
Mailing address
3059 Solomons Island Rd
Suite F-2
Edgewater, MD 21037-1433
Phone (410) 956-3394
Other names 1
- Dr. Rinde Olagoke Fadirepo
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD044103 | DC | MD | Family Medicine Physician |
| D68198 | MD | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719792000000",
"number": "1225228117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3059 SOLOMONS ISLAND RD",
"address_2": "SUITE F-2",
"city": "EDGEWATER",
"state": "MD",
"postal_code": "210371433",
"telephone_number": "410-956-3394",
"fax_number": "410-956-3324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3059 SOLOMONS ISLAND RD",
"address_2": "SUITE F-2",
"city": "EDGEWATER",
"state": "MD",
"postal_code": "210371433",
"telephone_number": "410-956-3394",
"fax_number": "410-956-3324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FADIREPO",
"first_name": "BABARINDE",
"middle_name": "OLAGOKE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-27",
"last_updated": "2024-07-01",
"certification_date": "2024-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MD",
"license": "D68198",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "DC",
"license": "MD044103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RINDE",
"last_name": "FADIREPO",
"middle_name": "OLAGOKE",
"prefix": "DR.",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Edgewater, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.