Individual provider Active NPI

Babarinde Olagoke Fadirepo, MD

  • Family Medicine Physician
  • Edgewater, MD
National Provider Identifier
1225228117
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD044103 Issued in DC
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

Updated by the provider on Jul 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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

LicenseStateTypeSpecialty
MD044103DCMDFamily Medicine Physician
D68198MDMDFamily 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.

Verify at the official NPI Registry.