Individual provider Active NPI

Abimbola Faridah Olabiyi, MD

  • Interventional Cardiology Physician
  • Manassas, VA
National Provider Identifier
1376047555
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
0101279950 Issued in VA
Practice address
8100 Ashton Ave Ste 200
Manassas, VA 20109-5688
Phone
(571) 581-1771
NPI assigned
Mar 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 0101279950 VA
Interventional Cardiology Physician 207RI0011X 0101279950 VA Primary

Addresses

Primary practice location

8100 Ashton Ave Ste 200
Manassas, VA 20109-5688

Mailing address

2401 Georgia Avenue NW Suite 2039
Washington, DC 20060-0001
Phone (202) 865-6691

Other names 1

  • Dr. Abimbola Faridah Balogun Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250926001221 DC Practitioner - Interventional Cardiology 7012412398 Reassigns benefits to 1 organization
I20251017003482 VA Practitioner - Interventional Cardiology 7012412398 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Howard University College of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carient Heart and Vascular, LLCGroup PAC ID 4082972468, 25 clinicians

Practice addresses (Care Compare)

415 Church St NE
Suite 101
Vienna, VA 22180-4748
Phone (877) 415-4116

8100 Ashton Ave
Suite 200
Manassas, VA 20109-5688
Phone 57158117712611

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Carient Heart & Vascular, LLC Cardiovascular Disease CurrentSince Jul 13, 2025 Accepting new patients

Locations

8100 Ashton Ave
Ste 200
Manassas, VA 20109
Phone (571) 581-1771

1850 Town Center Pkwy
Ste 566
Reston, VA 20190

415 Church St NE
Ste 101
Vienna, VA 22180
Phone (571) 432-9454

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: aolabiyi692478@direct.healthsystem.virginia.edu
  • Direct secure messaging: abimbola.olabiyi.p1@direct.chv.nextgenshare.com

Organizations & group practices 1

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": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1376047555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 GEORGIA AVENUE NW SUITE 2039",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200600001",
            "telephone_number": "202-865-6691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 ASHTON AVE STE 200",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201095688",
            "telephone_number": "571-581-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLABIYI",
        "first_name": "ABIMBOLA",
        "middle_name": "FARIDAH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-21",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101279950",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "VA",
            "license": "0101279950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABIMBOLA",
            "last_name": "BALOGUN",
            "middle_name": "FARIDAH",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Manassas, VA

Sources for this page

Verify at the official NPI Registry.