Tolani Fausat Abdulkadir, MD
Individual provider Active NPI Obstetrics & Gynecology Physician · Baltimore, MD
NPI 1699734293 · NPPES record last updated Jun 26, 2021
Key facts
- NPI
- 1699734293
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- D0066959 (MD)
- Practice address
- 815 E Pratt St
Baltimore, MD 21202-4889 - Phone
- (410) 637-5720
- Fax
- (410) 637-5661
- NPI assigned
- Mar 22, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 20
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
Practice addresses (Care Compare)
815 E Pratt St
BHMC
Baltimore, MD 21202-4402
Phone (410) 637-5700
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MD, DC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081120000426 | MD | Practitioner - Obstetrics/Gynecology | 9537188115 | Reassigns benefits to 2 organizations |
| I20201218000049 | DC | Practitioner - Obstetrics/Gynecology | 9537188115 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0066959 | MD | MD | Obstetrics & Gynecology Physician |
Practice roles
Locations
815 E Pratt St
Ste 209
Baltimore, MD 21202
815 E Pratt St
Baltimore, MD 21202
Phone (410) 637-5700
7070 Samuel Morse Dr
Columbia, MD 21046
Phone (410) 309-4600
7190 Crestwood Blvd
Frederick, MD 21703
Phone (240) 529-1700
1701 Twin Springs Rd
Halethorpe, MD 21227
Phone (410) 737-5000
10810 Connecticut Ave
Kensington, MD 20895
Phone (301) 929-7100
1221 Mercantile Ln
Fl 3
Largo, MD 20774
Phone (301) 618-5500
655 Watkins Mill Rd
Montgomery Village, MD 20879
Phone (301) 929-7100
2101 E Jefferson St
#4E
Rockville, MD 20852
2101 E Jefferson St
Ste 6WPPQA
Rockville, MD 20852
Phone (301) 816-5853
2101 E Jefferson St
Ste 6
Rockville, MD 20852
6701 N Charles St
Towson, MD 21204
Phone (443) 849-2000
1221 Mercantile Ln
Upper Marlboro, MD 20774
Phone (301) 618-5500
8008 Westpark Dr
Tysons Corner, VA 22102
Phone (703) 287-6400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | D0066959 | MD | Yes |
Addresses
Primary practice location
815 E Pratt St
Baltimore, MD 21202-4889
Mailing address
815 E Pratt St Ste 209
Baltimore, MD 21202-4889
Phone (410) 637-5720
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 416179300 | Medicaid | MD | |
| 101329370 | Medicaid | PA |
Other names
- Tolani Fausat Owolabi
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggateways | Health Information Exchange (HIE) |
Other providers in Baltimore, MD
- Moataz Amir Abdul Latif Abdul Latif
- Ahamed Akmal Abdul Rahman Lebbe
- Safiyyah H Abdul Rahman
- Mohammad Abdulelah
- Leenah Ata Y Abdulgader
- Sasha Abdulkariem
- Anas Abdullah
- Ibrahim Chaz Abdullah
- Miya Abdullah
- Mustafa Abdulmahdi
All providers in Baltimore, MD · Obstetrics & Gynecology Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.