Active NPI
Gbola J. Oladele, NP
- Psychiatric/Mental Health Nurse Practitioner
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- R164405
- 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
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | faithhealthcarecenter@gmail.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| 3G Health LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Debobeth Medical Center | Past | 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Crofton, MD
- NPI 1942154943
-
dba MMG Emergency Medicine Cfnrg
- Emergency Medical Services (Emergency Medicine) Physician
- Washington, DC
- NPI 1558189712
-
- Health Service Clinic/Center
- Baltimore, MD
- NPI 1043791122
-
- Nurse Practitioner
- Baltimore, MD
- NPI 1871074096
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Washington, DC
- NPI 1548378235
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.