NPIMap

Organization Active NPI

Assured Access Medical Associates Inc.

  • General Practice Physician
  • Greenbelt, MD
National Provider Identifier
1720623242
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
ASSURED ACCESS MEDICAL ASSOCIATES INC.
Practice address
7221 Hanover Pkwy Ste C
Greenbelt, MD 20770-2022
Phone
(301) 674-9319
Fax
(301) 439-0968
NPI assigned
Nov 7, 2019
Last updated
Jul 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Authorized official

Name
Oluremi Tunde Ilupeju, MDNPI 1225093768
Title
Ceo/Medical Director
Phone
(301) 674-9319

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

7221 Hanover Pkwy Ste C
Greenbelt, MD 20770-2022

Mailing address

7221 Hanover Pkwy Ste C
Greenbelt, MD 20770-2022
Phone (301) 674-9319

Other identifiers 1

IdentifierTypeStateIssuer
193328100MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200316000110 DC Part B Supplier - Clinic/Group Practice 2163850702 Receives reassigned benefits from 17 practitioners
Practice locations: Greenbelt, MD

National Provider Directory

National Provider Directory

Locations

7221 Hanover Pkwy
Greenbelt, MD 20770
Phone (301) 439-4422

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1573084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721952000000",
    "number": "1720623242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7221 HANOVER PKWY STE C",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702022",
            "telephone_number": "301-674-9319",
            "fax_number": "301-439-0968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7221 HANOVER PKWY STE C",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702022",
            "telephone_number": "301-674-9319",
            "fax_number": "301-439-0968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSURED ACCESS MEDICAL ASSOCIATES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-07",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A",
        "authorized_official_last_name": "ILUPEJU",
        "authorized_official_first_name": "OLUREMI",
        "authorized_official_middle_name": "TUNDE",
        "authorized_official_title_or_position": "CEO/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "301-674-9319",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "193328100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.