Individual provider Active NPI

Olufemi Olawale, NP

  • Adult Health Nurse Practitioner
  • Windsor Mill, MD
National Provider Identifier
1497272777
Registry record updated Aug 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
R182894 Issued in MD
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

Updated by the provider on Aug 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 LLCGroup PAC ID 1153669874, 2 clinicians

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

LicenseStateTypeSpecialty
R182894MDMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oasis Health Ventures LLC Nurse Practitioner CurrentSince Dec 12, 2018 Accepting new patients
Oasis Health Ventures LLC CurrentSince Nov 20, 2018 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 PastSince Aug 1, 2019 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.

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

Verify at the official NPI Registry.