Ademola Bisiriyu

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R220757 Issued in MD

Practice address

16900 Science Dr
Bowie, MD 20715-4401

Phone

(240) 617-1399

Fax

(240) 614-2133

NPI assigned

Jun 21, 2023

Last updated

Mar 5, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, DC, MD3 enrollments

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 3

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Columbia Associates in Psychiatry PCGroup PAC ID 7113165739, 127 clinicians

Kandi Healthcare ServicesGroup PAC ID 5193131126, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Brightermindandmentalwellness LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Clinton, MD
  • NPI 1003773631
  Medicare reassignment NPD Authorized official
• K&I Healthcare Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Waldorf, MD
  • NPI 1407409477

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Columbia Associates in Psychiatry PC

  • Psychiatry Physician
  • Arlington, VA
  • NPI 1699012930

  DC, MD, Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Columbia Associates in Psychiatry PC

  • Psychiatry Physician
  • Bowie, MD
  • NPI 1235007360

  Psychiatric/Mental Health

  NPD
• K&I Healthcare Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Landover, MD
  • NPI 1881289635

  Psychiatric/Mental Health

  NPD
• Center for Children Inc.

  • Community/Behavioral Health Agency
  • Prince Frederick, MD
  • NPI 1497108120
  NPD (past)

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1649955139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16900 SCIENCE DR STE 208",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207154401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16900 SCIENCE DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207154401",
            "telephone_number": "240-617-1399",
            "fax_number": "240-614-2133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISIRIYU",
        "first_name": "ADEMOLA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-21",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R220757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Biaou
• Biopsychiatry Therapeutic Services LLC
• Stephanie Birmingham
• Birth & Milk, LLC
• Clarence Marvin Bishop, SURGICAL ASSISTANT
• Georgena A Bisong
• BJ's Wholesale Club Inc.
• Black Enterprize Consulting, LLC
• Black Woman Freedom Network, LTD
• Danielle Black

• Psychiatric/Mental Health Nurse Practitioner in Bowie, MD
• Providers in Bowie, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; 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.