Adeola Olotu

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R174288 Issued in MD

Practice address

1232 Race Road
Ste 403
Rosedale, MD 21237

Phone

(443) 868-7101

Fax

(443) 732-0054

NPI assigned

Jun 7, 2013

Last updated

Apr 11, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD, DC2 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

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

PA Post Acute Services PCGroup PAC ID 7911374905, 35 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BAFGCA

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.

• PA Post Acute Services PC

  • General Practice Physician
  • Masury, OH
  • NPI 1255057063

  MD

  Medicare reassignment Care Compare group
• 1St Medical Pain Management Specialists

  dba 1st Medical Painrehab Center

  • Clinic/Center
  • Edgewater, MD
  • NPI 1902348659
  Medicare reassignment NPD
• Kinetic Cardiology Services

  • Cardiovascular Disease Physician
  • Potomac, MD
  • NPI 1932985090
  Medicare reassignment NPD
• Maryland Medical First P.a.

  • Internal Medicine Physician
  • Baltimore, MD
  • NPI 1013005016

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Optimize Medical Group

  • Adult Health Nurse Practitioner
  • Pikesville, MD
  • NPI 1952818999

  DC

  Medicare reassignment NPD
• 1St Medical of Annapolis, Inc.

  • Family Medicine Physician
  • Edgewater, MD
  • NPI 1922282425
  Medicare reassignment
• USA Sleep Diagnostic Mobile Services, LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Columbia, MD
  • NPI 1598104010
  NPD
• Complete Health Service Inc.

  dba Complete Home Health

  • Home Health Agency
  • Silver Spring, MD
  • NPI 1962963348
  NPD (past)
• Post Acute Health Care Services LLC

  • Acute Care Nurse Practitioner
  • Pikesville, MD
  • NPI 1982423653
  NPD (past)

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

{
    "created_epoch": "1370563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1467890855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1232 RACE ROAD",
            "address_2": "STE 403",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "21237",
            "telephone_number": "443-868-7101",
            "fax_number": "443-732-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1232 RACE ROAD",
            "address_2": "STE 403",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "21237",
            "telephone_number": "443-868-7101",
            "fax_number": "443-732-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLOTU",
        "first_name": "ADEOLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-07",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R174288",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MD",
            "license": "R174288",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R174288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "417106300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ayokunle O Ojo, NURSE PRACTITIONER
• Nkechinyere Debbie Uwandu Okoye
• Andreea Olaru, M.D.
• Brittany Che' Oldland, MSN, FNP-C
• Kaitlyn Oliveri, LMSW
• Grace Omenyi, LGPC
• Iwalola Stella Omojola
• Olakunle Omolabi
• Zuri Onque
• Katherine Colleen Oppenheim, LGPC

• Psychiatric/Mental Health Nurse Practitioner in Rosedale, MD
• Providers in Rosedale, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; 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.

Verify at the official NPI Registry.