Adebowale A Popoola, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

D0062845 Issued in MD

Practice address

200 Wood Hill Rd
Rockville, MD 20850-8724

Phone

(301) 610-8306

Fax

(301) 309-2596

NPI assigned

Dec 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 1993

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Family and Childrens Services of Central Maryland IncGroup PAC ID 7719984392, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  MD, Psychiatry

  Medicare reassignment Care Compare group NPD
• Family & Childrens Services of Central Maryland Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
  • NPI 1538278809
  Medicare reassignment Care Compare group
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1285798843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WOOD HILL RD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208508724",
            "telephone_number": "301-610-8306",
            "fax_number": "301-309-2596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WOOD HILL RD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208508724",
            "telephone_number": "301-610-8306",
            "fax_number": "301-309-2596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPOOLA",
        "first_name": "ADEBOWALE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0062845",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MD",
            "license": "D0062845",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "410436600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pop Now LLC
• Brittany Pope
• Charita Pope, M.D.
• Pope, LLC
• Sarah Pope, M.S., BCBA
• Morenike Popoola
• Stephanie Popovici
• Albert Victor Porambo, M.D.
• Paul Sergio Porras, M.D.
• Joseph M Porres, MD

• Psychiatry Physician in Rockville, MD
• Providers in Rockville, MD by specialty
• Psychiatry Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; 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.