Active NPI
Abiola Olakitan Obatuase, NP
- Family Nurse Practitioner
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R174133
- Practice address
- 3350 Wilkens Ave Ste 302
Baltimore, MD 21229-4618 - Phone
- (443) 722-0954
- NPI assigned
- Nov 9, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R174133 | MD | Primary |
Addresses
Primary practice location
3350 Wilkens Ave Ste 302
Baltimore, MD 21229-4618
Mailing address
15212 Torino Way
Woodbine, MD 21797-9485
Phone (410) 800-4572
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3350 Wilkens Ave
Suite 302
Baltimore, MD 21229-4618
Phone (443) 722-0954
Merit-based Incentive Payment System (MIPS)
- Final score
- 69.18 of 100
- Quality
- 80.07
- Promoting interoperability
- 0
- Improvement activities
- 40
- Cost
- 67.19
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Wound Care Maryland LLC | Current | Accepting new patients | |
| Valuecare Corporation | Current | Accepting new patients | |
| Consonant Healing Medical Associates | Current | Accepting new patients | |
| American Wound Care PC | Past | Accepting new patients |
Locations
7520 Surratts Rd
Clinton, MD 20735
Phone (301) 856-1600
919 Seton Dr
Cumberland, MD 21502
Phone (301) 777-0622
85 Hospital Rd
Prnc Frederck, MD 20678
Phone (410) 535-2300
8403 Colesville Rd
Ste 1100
Silver Spring, MD 20910
Phone (301) 905-7762
909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300
492C Cedar Ln
Teaneck, NJ 07666
Phone (201) 357-5468
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 5
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.
-
- Family Nurse Practitioner
- Baltimore, MD
- NPI 1649511973
-
- General Practice Physician
- Prince Frederick, MD
- NPI 1154963056
DC
-
- Surgery Physician
- Silver Spring, MD
- NPI 1588122535
-
- Physical Therapy Clinic/Center
- Finksburg, MD
- NPI 1134757818
-
- Wound Care Registered Nurse
- Elkridge, MD
- NPI 1316799638
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740355200000",
"number": "1679086813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15212 TORINO WAY",
"city": "WOODBINE",
"state": "MD",
"postal_code": "217979485",
"telephone_number": "410-800-4572",
"fax_number": "410-286-1923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3350 WILKENS AVE STE 302",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212294618",
"telephone_number": "443-722-0954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBATUASE",
"first_name": "ABIOLA",
"middle_name": "OLAKITAN",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-09",
"last_updated": "2025-02-24",
"certification_date": "2025-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R174133",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.