Olubayo Oludara-Fadare, M.D

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

D0070459 Issued in MD

Practice address

7347 Hanover Pkwy Ste B
Greenbelt, MD 20770-3663

Phone

(301) 220-2277

Fax

(301) 220-4464

NPI assigned

Dec 4, 2007

Last updated

Jul 7, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other names 1

• Olubayo Fadare Other name

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sun Rise Rehab LLCGroup PAC ID 4880783810, 22 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Luminis Health Doctors Community Medical Ctr, Inc Hospital, Lanham, MD, CCN 210051

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/4265/brand/1/csg/1/fhir/r4
• Direct secure messaging: olubayo.oludara.fadare.1@4265.direct.athenahealth.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.

• Ace Urgent Care and Clinic LLC

  • Urgent Care Clinic/Center
  • Greenbelt, MD
  • NPI 1053622019

  DC

  Medicare reassignment NPD Authorized official
• Ace Clinic

  • Primary Care Clinic/Center
  • Greenbelt, MD
  • NPI 1407550718
  NPD Authorized official
• Sun Rise Rehab LLC

  • Physical Therapist
  • Greenbelt, MD
  • NPI 1164602314
  Care Compare group
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Luminis Health Doctors Community Medical Center, Inc.

  dba Doctors Community Hospital

  • General Acute Care Hospital
  • Lanham, MD
  • NPI 1730136532
  Care Compare affiliation

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1750563565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 837",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207680837",
            "telephone_number": "609-213-0237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7347 HANOVER PKWY STE B",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703663",
            "telephone_number": "301-220-2277",
            "fax_number": "301-220-4464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLUDARA-FADARE",
        "first_name": "OLUBAYO",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-04",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "D0070459",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01064553A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0070459",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MD",
            "license": "D0070459",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLUBAYO",
            "last_name": "FADARE",
            "credential": "M.D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Osaremen Bisola Omorodion
• Ibilola Omotosho
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• Family Medicine Physician in Greenbelt, MD
• Providers in Greenbelt, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; 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.

Verify at the official NPI Registry.