Babajide Eyitayo Faditan, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

D74464 Issued in MD

Practice address

1450 Mercantile LN Ste 217
Largo, MD 20774-5388

Phone

(301) 341-5000

Fax

(301) 341-5001

NPI assigned

Jul 8, 2010

Last updated

Apr 7, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bfaditan801513@direct.umm.edu
• Direct secure messaging: heritagepediatrics.babajidefaditan@128621.advancedmd-direct.com

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.

• Emergency Medicine Associates P.a., P.C.

  • Emergency Medicine Physician
  • Falls Church, VA
  • NPI 1134117393

  MD, Pediatrics

  Medicare reassignment NPD
• Heritage Pediatrics, Inc.

  • Pediatrics Physician
  • Largo, MD
  • NPI 1972903201
  NPD (past) Authorized official
• Emergency Medicine Associates P.a., P.C.

  • Internal Medicine Physician
  • Culpeper, VA
  • NPI 1881559102
  NPD
• Dimensions Health Corporation

  dba University of Maryland Bowie Health Center

  • General Acute Care Hospital
  • Upper Marlboro, MD
  • NPI 1720099286
  NPD (past)
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Holy Cross Health, Inc

  dba Holy Cross Hospital

  • General Acute Care Hospital
  • Silver Spring, MD
  • NPI 1669417838
  NPD (past)

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

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1699087403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 MERCANTILE LN STE 217",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207745388",
            "telephone_number": "301-341-5000",
            "fax_number": "301-341-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 MERCANTILE LN STE 217",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207745388",
            "telephone_number": "301-341-5000",
            "fax_number": "301-341-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FADITAN",
        "first_name": "BABAJIDE",
        "middle_name": "EYITAYO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-08",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D74464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "378100300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claressa Glaspie Everett, LMSW
• Evolution Therapeutic Health
• Evolution Therapeutic Health
• Evolution Therapeutic Health
• Eze Dental LLC
• Marcos S Faltamo, CRNA
• Family Service Institute (Denise Trotter Glynn)
• Faria Farhat, M.D.
• Shantel Farrar, BCBA
• Dylan Henry Fearing

• Pediatrics Physician in Largo, MD
• Providers in Largo, MD by specialty
• Pediatrics Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.