Christopher Duaka Obiogbolu, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R181376 Issued in MD

Practice address

4411 Southern Ave
Capitol Heights, MD 20743-5639

Phone

(240) 633-6156

NPI assigned

Jul 16, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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 1

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Aczobi Medical Nuclear Medicine LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Suitland, MD
  • NPI 1750256558

  MD

  Medicare reassignment
• Interdynamics, Inc.

  • Community/Behavioral Health Agency
  • Landover, MD
  • NPI 1770135261
  NPD (past)

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1275917577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 MCCORMICK RD",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207724351",
            "telephone_number": "410-900-8888",
            "fax_number": "469-932-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 SOUTHERN AVE",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "207435639",
            "telephone_number": "240-633-6156"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5885 Allentown Rd",
            "address_purpose": "LOCATION",
            "city": "Suitland",
            "state": "MD",
            "postal_code": "207464570",
            "country_code": "US",
            "telephone_number": "240-505-2127",
            "fax_number": "469-932-0023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OBIOGBOLU",
        "first_name": "CHRISTOPHER",
        "middle_name": "DUAKA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-16",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R181376",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R181376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elise Nordstrom, LMSW, LGSW
• Stoward Nembu Ntsou
• Gwendoline Akum Nyambod
• Juliette Toukem Nzepack
• Oac Enterprises LLC
• Ademola Moses Oduyebo, PSYD
• Grace Omowumi Ogunbode
• Kayode Ogunbode
• Ronke Florence Ogunsola, HHA
• Folasade Okelola

• All providers in Capitol Heights, MD
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.