Individual provider Active NPI

Olawale Wale - Aremu

  • Family Nurse Practitioner
  • Gaithersburg, MD
National Provider Identifier
1417566944
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R199449 Issued in MD
Practice address
8963 Centerway Rd
Gaithersburg, MD 20879-1802
Phone
(240) 645-5344
NPI assigned
Jul 30, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R199449 MD Primary

Addresses

Primary practice location

8963 Centerway Rd
Gaithersburg, MD 20879-1802

Mailing address

8963 Centerway Rd
Gaithersburg, MD 20879-1802
Phone (240) 645-5344

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20230922001205 DC Practitioner - Nurse Practitioner 1557759883 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
My Med Clinic PAGroup PAC ID 7012083033, 2 clinicians
National Capital Treatment and RecoveryGroup PAC ID 2567807647, 12 clinicians

Practice addresses (Care Compare)

13225 Executive Park Ter
Germantown, MD 20874-2648
Phone (301) 540-1332

521 N Quincy St
Arlington, VA 22203-2136
Phone 70384107033005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
National Capital Treatment and Recovery CurrentSince Sep 11, 2024 Accepting new patients
National Capital Treatment and Recovery-Maryland Family CurrentSince Sep 11, 2024 Accepting new patients
My Med Clinic PA CurrentSince Aug 30, 2023 Accepting new patients

Locations

13225 Executive Park Ter
Germantown, MD 20874
Phone (202) 584-9346

521 N Quincy St
Arlington, VA 22203

200 N Glebe Rd
Ste 104
Arlington, VA 22203

Interoperability endpoints

  • Direct secure messaging: olawale.wale-aremu.1@20968.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/20968/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1596067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1417566944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8963 CENTERWAY RD",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208791802",
            "telephone_number": "240-645-5344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8963 CENTERWAY RD",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208791802",
            "telephone_number": "240-645-5344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALE - AREMU",
        "first_name": "OLAWALE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-30",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R199449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

Verify at the official NPI Registry.