Active NPI
Olufemi Olawale, NP
- Adult Health Nurse Practitioner
- Windsor Mill, MD
National Provider Identifier
1497272777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- R182894
- Practice address
- 2500 N Rolling Rd
Ste 100
Windsor Mill, MD 21244-1999 - Phone
- (443) 272-2614
- Fax
- (443) 272-2664
- NPI assigned
- Aug 27, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | R182894 | MD | Primary |
Addresses
Primary practice location
2500 N Rolling Rd
Ste 100
Windsor Mill, MD 21244-1999
Mailing address
3507 N Rolling Rd
Windsor Mill, MD 21244-2203
Phone (442) 272-2614
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190205001370 | MD | Practitioner - Nurse Practitioner | 2062750789 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Oasis Health Ventures LLC
Practice addresses (Care Compare)
2500 N Rolling Rd
Suite 100
Windsor Mill, MD 21244-1999
Phone (443) 272-2614
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R182894 | MD | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oasis Health Ventures LLC | Nurse Practitioner | Current | Accepting new patients |
| Oasis Health Ventures LLC | Current | Accepting new patients | |
| Oasis Health Ventures | Family Medicine | Past | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Oasis Health Ventures | Past | Accepting new patients | |
| A K T Healthcare Incorporated | Past | Accepting new patients | |
| Oasis Health Ventures | Past | Accepting new patients | |
| Outpatient Mental Health Clinic | Past | Accepting new patients |
Locations
2700 W Cold Spring Ln
Baltimore, MD 21215
Phone (443) 272-2614
2500 N Rolling Rd
Ste 100
Windsor Mill, MD 21244
Phone (410) 645-8536
Organizations & group practices 8
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.
-
- Adult Medicine Physician
- Windsor Mill, MD
- NPI 1306313903
MD, Nurse Practitioner
-
- Adult Medicine Physician
- Windsor Mill, MD
- NPI 1053181644
-
- Substance Abuse Rehabilitation Facility
- Windsor Mill, MD
- NPI 1073108759
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Windsor Mill, MD
- NPI 1093334203
-
- Substance Abuse Rehabilitation Facility
- Baltimore, MD
- NPI 1801442249
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Case Manager/Care Coordinator
- Windsor Mill, MD
- NPI 1215550520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723852800000",
"number": "1497272777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3507 N ROLLING RD",
"city": "WINDSOR MILL",
"state": "MD",
"postal_code": "212442203",
"telephone_number": "442-272-2614",
"fax_number": "443-272-2664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 N ROLLING RD",
"address_2": "STE 100",
"city": "WINDSOR MILL",
"state": "MD",
"postal_code": "212441999",
"telephone_number": "443-272-2614",
"fax_number": "443-272-2664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLAWALE",
"first_name": "OLUFEMI",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-08-27",
"last_updated": "2024-08-17",
"certification_date": "2024-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MD",
"license": "R182894",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Windsor Mill, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2024; 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.