Adeola Adebusoye
Individual provider Active NPI Certified Registered Nurse Anesthetist · Laurel, MD
NPI 1609263268 · NPPES record last updated Apr 25, 2024
Key facts
- NPI
- 1609263268
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- R175407 (MD)
- Practice address
- 9419 3Rd St N
Laurel, MD 20723-1803 - Phone
- (240) 601-8865
- NPI assigned
- Apr 22, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Digestive Disease Associates LLC
Practice addresses (Care Compare)
10710 Charter Dr
Suite 120
Columbia, MD 21044-3258
Phone (410) 772-7345
Merit-based Incentive Payment System (MIPS)
- Final score
- 63.85 of 100
- Quality
- 57.47
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in DC, MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160226000743 | DC | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 5193020212 | Reassigns benefits to 4 organizations |
| I20160706000391 | MD | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 5193020212 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R175407 | MD | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corridor Anesthesia, L.L.C. | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Digestive Disease Associates, LLC | Current |
Accepting new patients | |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current |
Accepting new patients | |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current | Accepting new patients | |
| First Colonies Anesthesia Associates, LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current |
Accepting new patients | |
| Laurel MD Endoscopy ASC LLC | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current |
Accepting new patients | |
| Newbridge Surgery Center at Prince Frederick, LLC | Past | Accepting new patients |
Locations
851 Trafalgar Ct
Ste 200E
Maitland, FL 32751
Phone (321) 422-7155
700 Geipe Rd
Ste 230
Catonsville, MD 21228
700 Geipe Rd
Ste 220
Catonsville, MD 21228
Phone (410) 242-3636
10710 Charter Dr
Ste 110
Columbia, MD 21044
Phone (410) 992-9797
10710 Charter Dr
Ste 120
Columbia, MD 21044
Phone (410) 772-7345
400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300
301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565
1221 Mercantile Ln
Fl 3
Largo, MD 20774
Phone (301) 618-5500
7350 Van Dusen Rd
Ste 230
Laurel, MD 20707
Phone (301) 498-5500
11210 Old Georgetown Rd
#12202
Rockville, MD 20852
Phone (301) 881-7770
11210 Old Georgetown Rd
Rockville, MD 20852
Phone (301) 881-7770
46 W Gude Dr
Rockville, MD 20850
Phone (240) 750-6170
2101 E Jefferson St
Ste 6
Rockville, MD 20852
8322 Bellona Ave
Ste 201
Towson, MD 21204
Phone (410) 337-2688
1220C E Joppa Rd
Ste 508
Towson, MD 21286
Phone (410) 296-4415
1221 Mercantile Ln
Upper Marlboro, MD 20774
Phone (301) 618-5500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R175407 | MD | Yes |
Addresses
Primary practice location
9419 3Rd St N
Laurel, MD 20723-1803
Mailing address
9419 3Rd St N
Laurel, MD 20723-1803
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) |
Other providers in Laurel, MD
- Damilola Adebanjo I
- Rukayat Adebeshin
- Taiwo Adebesin
- Abiodun R Adebiyi
- Khadijat Oladoyin Adebiyi
- Olushola O Adebusoye
- Ayokunle Adedapo
- Oluwadamilare Adedeji
- Abisola Kafilat Adejayan
- Abdulahi Adekola
All providers in Laurel, MD · Certified Registered Nurse Anesthetist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.