Active NPI
Oloruntobi O Agbelusi, CRNP
- Family Nurse Practitioner
- Greenbelt, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R251076
- Practice address
- 7501 Greenway Center Dr
Greenbelt, MD 20770-3514 - Phone
- (646) 387-7440
- NPI assigned
- May 7, 2009
- Last updated
- Dec 27, 2022
- Sex
- Female
- 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 | R251076 | MD | Primary |
Addresses
Primary practice location
7501 Greenway Center Dr
Greenbelt, MD 20770-3514
Mailing address
1036 Saint Nicholas Dr
Waldorf, MD 20603-4757
Phone (240) 261-7170
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
110 Hospital Rd
Suite 101
Prince Frederick, MD 20678-4019
Phone (410) 535-8195
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.48 of 100
- Quality
- 74.54
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 81.24
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R251076 | MD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Calverthealth Medical Group, LLC | Current | Accepting new patients | |
| Calverthealth Medical Group, LLC | Current | Accepting new patients | |
| Calverthealth Medical Group, LLC | Current | Accepting new patients | |
| Bay Area Rehab & Medical | Past | Accepting new patients |
Locations
8924 Chesapeake Ave
North Beach, MD 20714
Phone (410) 257-7279
110 Hospital Rd
Ste 101
Prince Frederick, MD 20678
Phone (410) 535-8176
1036 Saint Nicholas Dr
Waldorf, MD 20603
Phone (410) 934-0580
1036 Saint Nicholas Dr
Unit 101
Waldorf, MD 20603
Phone (240) 261-7170
Organizations & group practices 4
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.
-
dba CalvertHealth Medical Group
- Family Medicine Physician
- Prince Frederick, MD
- NPI 1386871390
-
- Family Medicine Physician
- Solomons, MD
- NPI 1396534418
-
- Family Medicine Physician
- Prince Frederick, MD
- NPI 1477399509
-
- Physical Medicine & Rehabilitation Physician
- Fremont, CA
- NPI 1518686765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672099200000",
"number": "1487888368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1036 SAINT NICHOLAS DR",
"city": "WALDORF",
"state": "MD",
"postal_code": "206034757",
"telephone_number": "240-261-7170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7501 GREENWAY CENTER DR",
"city": "GREENBELT",
"state": "MD",
"postal_code": "207703514",
"telephone_number": "646-387-7440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGBELUSI",
"first_name": "OLORUNTOBI",
"middle_name": "O",
"credential": "CRNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-07",
"last_updated": "2022-12-27",
"certification_date": "2022-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R251076",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenbelt, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.