Active NPI
Adetimbo Adediran, CRNP
- Psychiatric/Mental Health Nurse Practitioner
- Owings Mills, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- R194824
- Practice address
- 9435 Paragon CT
Owings Mills, MD 21117-1408 - Phone
- (240) 722-9763
- NPI assigned
- Jun 4, 2016
- Last updated
- Mar 18, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R194854 | MD | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R194824 | MD | Primary |
Addresses
Primary practice location
9435 Paragon CT
Owings Mills, MD 21117-1408
Mailing address
9435 Paragon CT
Owings Mills, MD 21117-1408
Phone (240) 722-9763
Other practice location 1
7503 Surratts Rd
Clinton, MD 20735-3358
Phone (202) 360-4787
Other practice location 2
11236 Robinwood Dr
Suite 101
Hagerstown, MD 21742-6708
Phone (240) 313-4242
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1117 E W Hwy
Silver Spring, MD 20910-4852
Phone (202) 360-4787
1150 Varnum St NE
Washington, DC 20017-2180
Phone (202) 360-4787
7503 Surratts Rd
Clinton, MD 20735-3358
Phone (202) 360-4787
8040 Georgia Ave
Suite 170
Silver Spring, MD 20910-4959
Phone (202) 360-4787
940 Madison Ave
Suite 202
Baltimore, MD 21201-2113
Phone (410) 777-8710
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R194854 | MD | MD | Family Nurse Practitioner |
| R194824 | MD | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Graceland Psychiatry LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Axis Healthcare Group | Current | Accepting new patients | |
| Advance Mobile Health Solutions | Family | Current | Accepting new patients |
| Psychogeriatric Services LLC | Current | Accepting new patients | |
| Victory Springs, Inc | Current | Accepting new patients | |
| Kurup Wound Care, Inc. | Current | Accepting new patients | |
| Medical Director Services PC | Current | Accepting new patients | |
| Parker Psychiatric Services, Incorporated | Current | Accepting new patients | |
| Interdynamics, Inc. | Psychiatric/Mental Health | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| MCS, PC | Psychiatric/Mental Health | Past | Accepting new patients |
| Interdynamics, Inc. | Past | Accepting new patients | |
| Post Acute Health Care Services LLC | Past | Accepting new patients |
Locations
1150 Varnum St NE
Washington, DC 20017
Phone (202) 269-7000
900 Van Buren St
Annapolis, MD 21403
Phone (301) 933-2500
940 Madison Ave
#202
Baltimore, MD 21201
Phone (410) 777-8710
7503 Surratts Rd
Clinton, MD 20735
Phone (301) 868-8000
1835 University Blvd E
Ste 208
Hyattsville, MD 20783
Phone (301) 445-3501
4922 Lasalle Rd
Hyattsville, MD 20782
Phone (301) 445-3501
8181 Professional Pl
Ste 200
Landover, MD 20785
Phone (301) 306-4590
25500 Point Lookout Rd
Leonardtown, MD 20650
Phone (301) 475-6106
4101 Old National Pike
Mount Airy, MD 21771
Phone (301) 829-0800
10451 Mill Run Cir
Ste 400
Owings Mills, MD 21117
Phone (443) 219-8482
19 Walker Ave
Ste 203
Pikesville, MD 21208
Phone (410) 526-1490
12073 Tech Rd
Ste B
Silver Spring, MD 20904
Phone (240) 396-5873
3227 Bel Pre Rd
Silver Spring, MD 20906
Phone (301) 871-2000
50 Sheffield Ave
Brooklyn, NY 11207
Phone (718) 250-8789
1311 Virginia St
Far Rockaway, NY 11691
Phone (718) 327-2908
Organizations & group practices 16
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.
-
- Psychiatry Physician
- Owings Mills, MD
- NPI 1265011928
Psychiatric/Mental Health
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baltimore, MD
- NPI 1912478900
-
- Geriatric Medicine (Internal Medicine) Physician
- Princess Anne, MD
- NPI 1871955807
NY
-
- Internal Medicine Physician
- Reisterstown, MD
- NPI 1770530982
-
dba GPS Physician Group PC
- Geriatric Medicine (Internal Medicine) Physician
- Gardendale, AL
- NPI 1881109452
DC
-
- Family Medicine Physician
- Hyattsville, MD
- NPI 1861652646
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba MedStar Southern Maryland Hospital
- General Acute Care Hospital
- Clinton, MD
- NPI 1366790693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773792000000",
"number": "1679922298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9435 PARAGON CT",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211171408",
"telephone_number": "240-722-9763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9435 PARAGON CT",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211171408",
"telephone_number": "240-722-9763"
}
],
"practiceLocations": [
{
"address_1": "7503 Surratts Rd",
"address_purpose": "LOCATION",
"city": "Clinton",
"state": "MD",
"postal_code": "207353358",
"country_code": "US",
"telephone_number": "202-360-4787",
"fax_number": "202-360-4787",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11236 Robinwood Dr",
"address_2": "Suite 101",
"address_purpose": "LOCATION",
"city": "Hagerstown",
"state": "MD",
"postal_code": "217426708",
"country_code": "US",
"telephone_number": "240-313-4242",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ADEDIRAN",
"first_name": "ADETIMBO",
"credential": "CRNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-04",
"last_updated": "2026-03-18",
"certification_date": "2026-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R194854",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "R194824",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Owings Mills, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; 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.