Active NPI
Olawale Wale - Aremu
- Family Nurse Practitioner
- Gaithersburg, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R199449
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Capital Treatment and Recovery | Current | Accepting new patients | |
| National Capital Treatment and Recovery-Maryland | Family | Current | Accepting new patients |
| My Med Clinic PA | Current | 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
- olawale.wale-aremu.1@20968.direct.athenahealth.com
- 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.
-
- Substance Abuse Rehabilitation Facility
- Arlington, VA
- NPI 1558415968
DC
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Baltimore, MD
- NPI 1528740628
Family
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; 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.