Active NPI
Adeola Rita Omoruyi, CRNP
- Nurse Practitioner
- Largo, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R231913
- Practice address
- 901 Harry S Truman Dr N
Largo, MD 20774-5477 - Phone
- (240) 677-1000
- NPI assigned
- Feb 26, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN200006296 | DC | |
| Registered Nurse | 163W00000X | R231913 | MD | |
| Nurse Practitioner | 363L00000X | R231913 | MD | Primary |
Addresses
Primary practice location
901 Harry S Truman Dr N
Largo, MD 20774-5477
Mailing address
11305 Old Prospect Hill Rd
Glenn Dale, MD 20769-9423
Phone (240) 354-9483
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11305 Old Prospect Hill Rd
Glenn Dale, MD 20769-9423
Phone (301) 851-9880
901 Harry S Truman Dr N
Upper Marlboro, MD 20774-5477
Phone (240) 677-3000
Hospital & facility affiliations
- University of MD Capital Region Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN200006296 | DC | MD | Registered Nurse |
| R231913 | MD | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dimensions Health Associates Dba University of Maryland Capital Region | Current | Accepting new patients | |
| Remediez LLC | Current | Accepting new patients | |
| Dimensions Healthcare Associates, Inc. | Current | Accepting new patients |
Locations
2900 Mercy Ln
Cheverly, MD 20785
Phone (301) 618-2010
900 Elkridge Landing Rd
Fl 2
Linthicum Heights, MD 21090
Phone (443) 462-5010
901 Harry S Truman Dr N
Uppr Marlboro, MD 20774
Phone (240) 677-0021
Interoperability endpoints
- aomoruyi644279@direct.umm.edu
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Oxon Hill, MD
- NPI 1407486293
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Upper Marlboro, MD
- NPI 1720099286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744848000000",
"number": "1689430936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11305 OLD PROSPECT HILL RD",
"city": "GLENN DALE",
"state": "MD",
"postal_code": "207699423",
"telephone_number": "240-354-9483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 HARRY S TRUMAN DR N",
"city": "LARGO",
"state": "MD",
"postal_code": "207745477",
"telephone_number": "240-677-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OMORUYI",
"first_name": "ADEOLA",
"middle_name": "RITA",
"credential": "CRNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-26",
"last_updated": "2025-04-17",
"certification_date": "2025-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "DC",
"license": "RN200006296",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MD",
"license": "R231913",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MD",
"license": "R231913",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Largo, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.