Individual provider Active NPI

Taiwo Olumide Oluyemo

  • Family Nurse Practitioner
  • Odenton, MD
National Provider Identifier
1245502889
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN1009677 Issued in DC
Practice address
2720 Orchard Oriole Way
Odenton, MD 21113-6038
Phone
(301) 326-5867
Fax
(202) 609-7409
NPI assigned
Jan 28, 2012
Last updated
Dec 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN1009677 DC Primary
Family Nurse Practitioner 363LF0000X R181061 MD
Registered Nurse 163W00000X RN1009677 DC
Registered Nurse 163W00000X R181061 MD

Addresses

Primary practice location

2720 Orchard Oriole Way
Odenton, MD 21113-6038

Mailing address

2720 Orchard Oriole Way
Odenton, MD 21113-6038
Phone (301) 326-5867

Other practice location 1

1501 S Clinton St
Baltimore, MD 21224-5730
Phone (866) 233-6925 ext. 36925

Other practice location 2

2808 Moores Plains Blvd
Upper Marlboro, MD 20774-8057
Phone (301) 326-5867

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, OR, CA4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20121126000377 DC Practitioner - Nurse Practitioner 3678724671 Reassigns benefits to 3 organizations
Practice locations: Upper Marlboro, MD
I20130809000455 MD Practitioner - Nurse Practitioner 3678724671 Reassigns benefits to 4 organizations
I20200501001278 OR Practitioner - Nurse Practitioner 3678724671 Reassigns benefits to 1 organization
I20200501002926 CA Practitioner - Nurse Practitioner 3678724671 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Founding Fathers Elderly CareGroup PAC ID 4183915572, 2 clinicians

Practice addresses (Care Compare)

2720 Orchard Oriole Way
Odenton, MD 21113-6038
Phone (301) 326-5867

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R181061MDMDRegistered Nurse
RN1009677DCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
First Medicine Clinical Associates Inc. CurrentSince Jun 1, 2019 Accepting new patients
Five Star Physician Services, LLC CurrentSince Jun 1, 2013 Accepting new patients
Founding Fathers Elderly Care Family CurrentSince Mar 29, 2016 Accepting new patients
Atlas Health, LLC CurrentSince Nov 8, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1501 S Clinton St
Baltimore, MD 21224
Phone (410) 998-7873

8700 Jones Mill Rd
Chevy Chase, MD 20815
Phone (301) 350-5555

785 Elkridge Landing Rd
Ste 300
Linthicum Heights, MD 21090
Phone (443) 323-3014

Interoperability endpoints

  • Direct secure messaging: taiwo.oluyemo@778128272654340.direct.elationemr.com

Organizations & group practices 6

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1327708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1245502889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 ORCHARD ORIOLE WAY",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211136038",
            "telephone_number": "301-326-5867",
            "fax_number": "202-609-7409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 ORCHARD ORIOLE WAY",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211136038",
            "telephone_number": "301-326-5867",
            "fax_number": "202-609-7409"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 S Clinton St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212245730",
            "country_code": "US",
            "telephone_number": "866-233-6925 x36925",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2808 Moores Plains Blvd",
            "address_purpose": "LOCATION",
            "city": "Upper Marlboro",
            "state": "MD",
            "postal_code": "207748057",
            "country_code": "US",
            "telephone_number": "301-326-5867",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLUYEMO",
        "first_name": "TAIWO",
        "middle_name": "OLUMIDE",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-28",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "RN1009677",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R181061",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DC",
            "license": "RN1009677",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R181061",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odenton, MD

Sources for this page

Verify at the official NPI Registry.