Individual provider Active NPI

Gbola J. Oladele, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Washington, DC
National Provider Identifier
1497217061
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R164405 Issued in MD
Practice address
4 Atlantic St SW
Washington, DC 20032-2350
Phone
(202) 540-9857
Fax
(202) 232-8494
NPI assigned
Apr 3, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R164405 MD Primary

Addresses

Primary practice location

4 Atlantic St SW
Washington, DC 20032-2350

Mailing address

4001 Eager Ter
Bowie, MD 20716-7345
Phone (240) 988-5654

Other practice location 1

3107 Erdman Ave
Baltimore, MD 21213-1719
Phone (410) 869-4602

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL faithhealthcarecenter@gmail.com Direct

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
I20190702001675 DC Practitioner - Nurse Practitioner 2668706359 Reassigns benefits to 1 organization
I20260409000869 MD Practitioner - Nurse Practitioner 2668706359 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

110 Irving St NW
Washington, DC 20010-3017
Phone (202) 877-7000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince Dec 9, 2025 Accepting new patients
3G Health LLC Psychiatric/Mental Health CurrentSince Mar 15, 2026 Accepting new patients
Medstar Medical Group II LLC CurrentSince Dec 9, 2025 Accepting new patients
Debobeth Medical Center PastSince Nov 15, 2018 Accepting new patients
Debobeth Medical Center Past Accepting new patients

Locations

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

4 Atlantic St SW
Washington, DC 20032
Phone (202) 407-3080

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

1612 Professional Blvd
Ste C
Crofton, MD 21114
Phone (240) 988-5654

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1497217061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 EAGER TER",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207167345",
            "telephone_number": "240-988-5654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 ATLANTIC ST SW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200322350",
            "telephone_number": "202-540-9857",
            "fax_number": "202-232-8494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3107 Erdman Ave",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212131719",
            "country_code": "US",
            "telephone_number": "410-869-4602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLADELE",
        "first_name": "GBOLA",
        "middle_name": "J.",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-03",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R164405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "faithhealthcarecenter@gmail.com",
            "affiliation": "Y",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3107 Erdman Ave",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212131719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.