Individual provider Active NPI

Olubunmi O Aiyegbusi

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1417558131
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R212610 Issued in MD
Practice address
1046 Old South Northpoint Rd
Baltimore, MD 21224
Phone
(410) 282-0100
Fax
(410) 284-5693
NPI assigned
Nov 9, 2020
Last updated
Apr 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R616210 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R212610 MD Primary

Addresses

Primary practice location

1046 Old South Northpoint Rd
Baltimore, MD 21224

Mailing address

1046 Old Northpoint Rd
Baltimore, MD 21224
Phone (410) 282-0100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20210701002499 DC Practitioner - Nurse Practitioner 2567863244 Reassigns benefits to 5 organizations
I20210702000964 MD Practitioner - Nurse Practitioner 2567863244 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrahealth LLCGroup PAC ID 3678911625, 47 clinicians
Toller Enterprises, LLCGroup PAC ID 8628481926, 63 clinicians

Practice addresses (Care Compare)

10 N Rock Glen Rd
Baltimore, MD 21229-3250
Phone (410) 646-2100

2232 E Monument St
Baltimore, MD 21205-2431
Phone (667) 207-3552

3210 Powder Mill Rd
Hyattsville, MD 20783-1029
Phone (443) 452-9612

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R616210MDMDFamily Nurse Practitioner
R212610MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spiritual Healing Psychiatric/Mental Health CurrentSince Apr 1, 2025 Accepting new patients
Mdics Rehabilitative Services LLC CurrentSince May 24, 2021 Accepting new patients
Gilchrist Hospice Care, Inc. CurrentSince Jan 23, 2023 Accepting new patients
Integrahealth LLC Psychiatric/Mental Health CurrentSince May 1, 2025 Accepting new patients
Toller Enterprises LLC Psychiatric/Mental Health CurrentSince Apr 1, 2025 Accepting new patients
Gilchrist Hospice Care, Inc. CurrentSince Jan 23, 2023 Accepting new patients
Integrahealth LLC Psychiatric/Mental Health CurrentSince May 1, 2025 Accepting new patients
Spiritual Healing Past Accepting new patients

Locations

1500 K St NW
Ste 200
Washington, DC 20005
Phone (667) 207-3552

10 N Rock Glen Rd
Baltimore, MD 21229
Phone (410) 646-2100

2232 E Monument St
Baltimore, MD 21205
Phone (667) 207-3552

821 N Charles St
Baltimore, MD 21201
Phone (443) 452-9612

5721 Grosvenor Ln
Bethesda, MD 20814
Phone (301) 530-1600

9211 Stuart Ln
Clinton, MD 20735
Phone (301) 868-3600

6934 Aviation Blvd
Ste B
Glen Burnie, MD 21061
Phone (443) 534-0575

3210 Powder Mill Rd
Hyattsville, MD 20783
Phone (301) 937-3939

1051 Brightseat Rd
Landover, MD 20785
Phone (240) 487-4400

8118 Good Luck Rd
Lanham Seabrook, MD 20706
Phone (301) 552-8608

9722 Groffs Mill Dr
Owings Mills, MD 21117
Phone (410) 205-9255

200 Civic Ave
Salisbury, MD 21804
Phone (410) 749-1466

7525 Carroll Ave
Takoma Park, MD 20912
Phone (301) 270-4200

6701 N Charles St
Towson, MD 21204
Phone (443) 849-2000

6701 N Charles St
Ste 4105
Towson, MD 21204
Phone (443) 849-3184

Interoperability endpoints

  • Direct secure messaging: oaiyegbusi63307@gbmcdirect.org

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1417558131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1046 OLD NORTHPOINT RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21224",
            "telephone_number": "410-282-0100",
            "fax_number": "410-284-5693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1046 OLD SOUTH NORTHPOINT RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21224",
            "telephone_number": "410-282-0100",
            "fax_number": "410-284-5693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AIYEGBUSI",
        "first_name": "OLUBUNMI",
        "middle_name": "O",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-09",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R616210",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R212610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.