Adeola Adebusoye

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

R175407 Issued in MD

Practice address

9419 3Rd St N
Laurel, MD 20723-1803

Phone

(240) 601-8865

NPI assigned

Apr 22, 2015

Last updated

Apr 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in DC, MD2 enrollments

Enrollment records 2

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 LLCGroup PAC ID 1951734078, 46 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

63.85 of 100Reported as group

Quality

57.47

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Digestive Disease Associates, LLC

  • Gastroenterology Physician
  • Baltimore, MD
  • NPI 1407400955
  Medicare reassignment Care Compare group NPD
• Corridor Anesthesia, L.L.C.

  • Certified Registered Nurse Anesthetist
  • Laurel, MD
  • NPI 1720053887

  DC, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• First Colonies Anesthesia Associates, LLC

  • Anesthesiology Physician
  • Columbia, MD
  • NPI 1740218767

  DC, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Kaiser Foundation Health Plan of the Mid Atlantic States, Inc

  dba Kaiser Permanente Largo Ambulatory Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Largo, MD
  • NPI 1366781700

  DC

  Medicare reassignment NPD
• Kaiser Foundation Health Plan of the Mid Atlantic States, Inc

  dba Kaiser Permanente Annapolis Medical Center

  • Health Maintenance Organization
  • Annapolis, MD
  • NPI 1952461816

  DC

  Medicare reassignment NPD
• Kaiser Foundation Health Plan of the Mid Atlantic States, Inc

  dba Kaiser Permanente Gaithersburg Medical Center

  • Health Maintenance Organization
  • Gaithersburg, MD
  • NPI 1831471713
  NPD
• Kaiser Foundation Health Plan of the Mid Atlantic States, Inc

  dba Kaiser Permanente Shady Grove Peritoneal Dialysis Facility

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Rockville, MD
  • NPI 1962108753
  NPD
• Laurel MD Endoscopy ASC LLC

  dba Ambulatory Endoscopy Center of Maryland

  • Ambulatory Surgical Clinic/Center
  • Laurel, MD
  • NPI 1609871680
  NPD
• Newbridge Surgery Center at Prince Frederick, LLC

  • Ambulatory Surgical Clinic/Center
  • Prince Frederick, MD
  • NPI 1285944504
  NPD (past)

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1609263268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9419 3RD ST N",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207231803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9419 3RD ST N",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207231803",
            "telephone_number": "240-601-8865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEBUSOYE",
        "first_name": "ADEOLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-22",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "R175407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Carequality",
            "address_1": "9419 3rd St N",
            "city": "Laurel",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207231803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Olajumoke Kashiat Adebayo
• Rukayat Adebeshin
• Taiwo Adebesin, RPH
• Abiodun R Adebiyi
• Khadijat Oladoyin Adebiyi
• Olushola O Adebusoye
• Ayokunle Adedapo
• Oluwadamilare Adedeji, HHA
• Abisola Kafilat Adejayan
• Abdulahi Adekola

• Certified Registered Nurse Anesthetist in Laurel, MD
• Providers in Laurel, MD by specialty
• Certified Registered Nurse Anesthetist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.