Individual provider Active NPI

Bosede Deleola Lasekan, CNM

  • Advanced Practice Midwife
  • Cheverly, MD
National Provider Identifier
1518047380
Registry record updated Apr 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
R139747 Issued in MD
Practice address
3001 Hospital Dr
Cheverly, MD 20785-1189
Phone
(301) 618-2355
NPI assigned
Oct 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X F001094-1 NY
Advanced Practice Midwife 367A00000X R139747 MD Primary

Addresses

Primary practice location

3001 Hospital Dr
Cheverly, MD 20785-1189

Mailing address

6295 Leafy Screen
Columbia, MD 21045-4510
Phone (410) 309-5787

Other names 1

  • Bosede Deleola Ogunwale Former name

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161130000229 MD Practitioner - Certified Nurse Midwife (CNM) 8224115159 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
F001094-1NYMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Sinai Hospital of Baltimore Inc CurrentSince Nov 7, 2016 Accepting new patients
Medstar Medical Group II LLC CurrentSince Mar 1, 2023 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Nov 23, 2020 Accepting new patients
Sinai Hospital of Baltimore Inc Current Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Nov 23, 2020 Accepting new patients
Sinai Hospital of Baltimore, Inc. CurrentSince Nov 7, 2016 Accepting new patients
Medstar Medical Group II LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2435 W Belvedere Ave
Ste 33
Baltimore, MD 21215
Phone (410) 601-6311

2435 W Belvedere Ave
Baltimore, MD 21215
Phone (410) 601-0900

12 Medstar Blvd
Ste 235
Bel Air, MD 21015
Phone (410) 877-8088

2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432

1576 Merritt Blvd
Ste 16
Dundalk, MD 21222
Phone (410) 650-2191

219 S Washington St
Easton, MD 21601

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

3001 Hospital Dr
Hyattsville, MD 20785
Phone (301) 618-2000

900 Elkridge Landing Rd
Fl 2
Linthicum Heights, MD 21090
Phone (443) 462-5010

5009 Honeygo Center Dr
Ste 210
Perry Hall, MD 21128
Phone (443) 725-2110

9103 Franklin Square Dr
Rosedale, MD 21237
Phone (443) 777-7147

9103 Franklin Square Dr
Ste 305
Rosedale, MD 21237
Phone (443) 777-7608

6569 N Charles St
Ste 307
Towson, MD 21204
Phone (443) 849-2767

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207872000000",
    "number": "1518047380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6295 LEAFY SCREEN",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210454510",
            "telephone_number": "410-309-5787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 HOSPITAL DR",
            "city": "CHEVERLY",
            "state": "MD",
            "postal_code": "207851189",
            "telephone_number": "301-618-2355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASEKAN",
        "first_name": "BOSEDE",
        "middle_name": "DELEOLA",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2008-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "F001094-1",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MD",
            "license": "R139747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BOSEDE",
            "last_name": "OGUNWALE",
            "middle_name": "DELEOLA",
            "credential": "CNM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cheverly, MD

Sources for this page

Verify at the official NPI Registry.