Individual provider Active NPI

Olayinka Olasimbo, PA-C

  • Physician Assistant
  • Timonium, MD
National Provider Identifier
1467726760
Registry record updated Mar 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0004696 Issued in MD
Practice address
1134 York Road
Suite 101
Timonium, MD 21093
Phone
(410) 902-4770
Fax
(410) 938-8408
NPI assigned
Mar 5, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0004696 MD Primary

Addresses

Primary practice location

1134 York Road
Suite 101
Timonium, MD 21093

Mailing address

1134 York Road
Suite 101
Timonium, MD 21093
Phone (410) 902-4770

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
I20121119000497 DC Practitioner - Physician Assistant 4688825748 Reassigns benefits to 3 organizations
I20150731014507 MD Practitioner - Physician Assistant 4688825748 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
53.05 of 100Reported as group
Quality
49.52
Promoting interoperability
0
Improvement activities
40
Cost
77.32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0004696MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
MNR Industries, LLC CurrentSince Mar 1, 2021 Accepting new patients
CRH MD Management LLC CurrentSince Jun 14, 2024 Accepting new patients
Ace Health System Inc Current Accepting new patients
Emergency Medicine Associates, PA CurrentSince Nov 23, 2019 Accepting new patients
Emergency Medicine Associates, PA CurrentSince Nov 23, 2019 Accepting new patients
MNR Industries LLC Current Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Nov 23, 2019 Accepting new patients
CRH MD Management LLC CurrentSince Jun 14, 2024 Accepting new patients
MNR Industries, LLC CurrentSince Mar 1, 2021 Accepting new patients
Statcare Group, LLC CurrentSince Aug 14, 2018 Accepting new patients
MNR Industries, LLC CurrentSince Mar 1, 2021 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

590 Lanier Ave W
Fayetteville, GA 30214

1505 E Churchville Rd
#A
Bel Air, MD 21014
Phone (410) 420-6970

1505 E Churchville Rd
Bel Air, MD 21014
Phone (410) 420-6970

6000 Laurel Bowie Rd
Bowie, MD 20715
Phone (301) 383-0330

14421 Baltimore Ave
Laurel, MD 20707
Phone (240) 786-6684

504 E Ridgeville Blvd
#A
Mount Airy, MD 21771
Phone (301) 703-5452

11804 Reisterstown Rd
Reisterstown, MD 21136
Phone (410) 870-5094

14090 Hg Trueman Rd
Ste 1300
Solomons, MD 20688
Phone (410) 394-2800

1220A E Joppa Rd
Ste 109
Towson, MD 21286
Phone (410) 296-0018

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

Interoperability endpoints

  • Direct secure messaging: olayinka.olasimbo.1@14940.direct.athenahealth.com

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1330905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330905600000",
    "number": "1467726760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1134 YORK ROAD",
            "address_2": "SUITE 101",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "21093",
            "telephone_number": "410-902-4770",
            "fax_number": "410-938-8408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1134 YORK ROAD",
            "address_2": "SUITE 101",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "21093",
            "telephone_number": "410-902-4770",
            "fax_number": "410-938-8408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLASIMBO",
        "first_name": "OLAYINKA",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-05",
        "last_updated": "2012-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0004696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Timonium, MD

Sources for this page

Verify at the official NPI Registry.