Individual provider Active NPI

Olabimpe Solape Fashanu, M.D

  • Sleep Medicine (Internal Medicine) Physician
  • Rockville, MD
National Provider Identifier
1376813329
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
D0100022 Issued in MD
Practice address
8225 Front Loop
Rockville, MD 20855-2411
Phone
(240) 377-4659
NPI assigned
Jan 9, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RS0012X D0100022 MD Primary
Student in an Organized Health Care Education/Training Program 390200000X NY
Sleep Medicine (Internal Medicine) Physician 207RS0012X 265753 MA

Addresses

Primary practice location

8225 Front Loop
Rockville, MD 20855-2411

Mailing address

402 King Farm Blvd Ste 125
Rockville, MD 20850-5899
Phone (240) 377-4659

Other names 1

  • Olabimpe Solape Omobomi Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20160928000812 MA Practitioner - Sleep MedicinePractitioner - Internal Medicine 9335367671 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
265753MAMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians of Massachusetts II PC CurrentSince Jan 3, 2018 Accepting new patients
Brigham & Womens Physicians Organization Inc CurrentSince Sep 1, 2016 Accepting new patients
Sound Physicians of Massachusetts Inc Current Accepting new patients
Sound Physicians of Massachusetts, Inc CurrentSince Feb 22, 2017 Accepting new patients

Locations

75 Francis St
Boston, MA 02115

375 Boylston St
Brookline, MA 02445
Phone (508) 718-4010

115 Lincoln St
Framingham, MA 01702
Phone (508) 383-1000

575 Beech St
Holyoke, MA 01040
Phone (413) 534-2570

1153 Centre St
Jamaica Plain, MA 02130
Phone (617) 983-7000

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1326067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1376813329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 KING FARM BLVD STE 125",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208505899",
            "telephone_number": "240-377-4659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8225 FRONT LOOP",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208552411",
            "telephone_number": "240-377-4659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FASHANU",
        "first_name": "OLABIMPE",
        "middle_name": "SOLAPE",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-09",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "MD",
            "license": "D0100022",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "MA",
            "license": "265753",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLABIMPE",
            "last_name": "OMOBOMI",
            "middle_name": "SOLAPE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.