Marcus Akinola Balogun III, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

D0036000 Issued in MD

Practice address

1835 University Blvd. E
Suite 224
Hyattsville, MD 20783-4600

Phone

(301) 434-3111

Fax

(301) 434-1223

NPI assigned

May 13, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1273708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1700104882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 UNIVERSITY BLVD E",
            "address_2": "SUITE 224",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207834600",
            "telephone_number": "301-434-3111",
            "fax_number": "301-434-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 UNIVERSITY BLVD. E",
            "address_2": "SUITE 224",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207834600",
            "telephone_number": "301-434-3111",
            "fax_number": "301-434-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALOGUN",
        "first_name": "MARCUS",
        "middle_name": "AKINOLA",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-13",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "DC",
            "license": "MD16435",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101037847",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "D0036000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gloria Bailey, CERTIFIED HAIR LOSS
• Grace Charlotte Bakalag
• Ayodeji M Bakinson
• Fausat Bakinson
• Erika Bakkar
• Michael Olusola Balogun
• Omotayo O Balogun
• Olufeyikemi Bamgbade
• Sri Lakshmi Vidhyadhari Bandaru, PT
• Maurice Bangmou

• Emergency Medicine Physician in Hyattsville, MD
• Providers in Hyattsville, MD by specialty
• Emergency Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.