Olubukola David Bolaji, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101261217 Issued in VA

Practice address

8700 Sudley Rd
Manassas, VA 20110-4418

Phone

(703) 396-5292

Fax

(703) 396-5297

NPI assigned

Jun 17, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in TX, DC, VA3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Internal Medicine

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Virginia Hospital Center Physician Group LLCGroup PAC ID 8426231119, 350 clinicians

Uva Community Health Medical Group LLCGroup PAC ID 4688587967, 339 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Virginia Hospital Center Hospital, Arlington, VA, CCN 490050
• Uva Health Prince William Medical Center Hospital, Manassas, VA, CCN 490045

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: obolaji519539@direct.healthsystem.virginia.edu
• Direct secure messaging: obolaji11060@direct.virginiahospitalcenter.net

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.

• Uva Community Health Medical Group, LLC

  • Multi-Specialty Clinic/Center
  • Charlottesville, VA
  • NPI 1598475741
  Medicare reassignment Care Compare group NPD
• Virginia Hospital Center Physician Group, LLC

  • Maternal & Fetal Medicine Physician
  • Arlington, VA
  • NPI 1144415480

  DC

  Medicare reassignment Care Compare group NPD
• Hospitalist Medicine Physicians of Fredericksburg, LLC

  • Internal Medicine Physician
  • Fredericksburg, VA
  • NPI 1447577572
  Medicare reassignment NPD
• Hospitalist Medicine Physicians of Virginia LLC

  • Internal Medicine Physician
  • Winchester, VA
  • NPI 1770756991
  Medicare reassignment NPD
• Mary Washington Healthcare Providers LLC

  • Hospitalist Physician
  • Fredericksburg, VA
  • NPI 1750826277
  Medicare reassignment NPD
• Sentara Medical Group

  • Family Medicine Physician
  • Norfolk, VA
  • NPI 1265485270

  Internal Medicine

  Medicare reassignment NPD
• Glutality Provider Group, P.a.

  • Internal Medicine Physician
  • Boca Raton, FL
  • NPI 1083256168

  VA

  Medicare reassignment
• Uva Community Health Medical Group, LLC

  • Internal Medicine Physician
  • Manassas, VA
  • NPI 1861857815
  NPD
• Virginia Hospital Center Physician Group LLC

  • Podiatrist
  • Alexandria, VA
  • NPI 1003228917
  NPD
• Virginia Hospital Center Physician Group LLC

  • Neurology Physician
  • Arlington, VA
  • NPI 1245010479
  NPD
• Hospitalist Medicine Physicians of Franklin County, LTD

  • Internal Medicine Physician
  • Columbus, OH
  • NPI 1326088782
  NPD (past)
• Hospitalist Medicine Physicians of Richland County, LTD

  • Internal Medicine Physician
  • Canton, OH
  • NPI 1639119027
  NPD (past)

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

• Uva Prince William Medical Center

  • General Acute Care Hospital
  • Manassas, VA
  • NPI 1417005760
  Care Compare affiliation
• Virginia Hospital Center Arlington Health System

  • General Acute Care Hospital
  • Arlington, VA
  • NPI 1790785996
  Care Compare affiliation

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1497750277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7726 GUNSTON PLZ UNIT 1164",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "221998054",
            "telephone_number": "817-773-7014",
            "fax_number": "844-373-1885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 SUDLEY RD",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104418",
            "telephone_number": "703-396-5292",
            "fax_number": "703-396-5297"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14131 Midway Rd",
            "address_2": "Suite 620",
            "address_purpose": "LOCATION",
            "city": "Addison",
            "state": "TX",
            "postal_code": "750013623",
            "country_code": "US",
            "telephone_number": "972-249-0200",
            "fax_number": "972-249-0206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLAJI",
        "first_name": "OLUBUKOLA",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2023-05-18",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M3919",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101261217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5461151",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8P5794",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180925301",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0284562",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Kathleen Boazman-Steele
• Erin Boccardo, M.S. CCC-SLP
• Petr Bocek, MD, PHD
• Jessa-Marie L Boehm, M.S.
• Nirmal Cuda Bogollagama, DDS
• Bonrifuh Investment Group Inc
• Amy Sue Bookwalter, CD(DONA), LCCE
• Boosalis Psychological Services
• Eleni M Boosalis, PSYD
• Borarath Yann, D.D.S., PC

• Internal Medicine Physician in Manassas, VA
• Providers in Manassas, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.

Verify at the official NPI Registry.