Olakunle A Adenugba, NP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Baltimore, MD
NPI 1780397190 · NPPES record last updated Dec 30, 2022
Key facts
- NPI
- 1780397190
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- R170217 (MD)
- Practice address
- 3001 S Hanover St
Baltimore, MD 21225-1233 - Phone
- (410) 350-2794
- NPI assigned
- Dec 30, 2022
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- University Psychological Center, Inc.
Practice addresses (Care Compare)
21 W 25TH St
Baltimore, MD 21218-5003
Phone (410) 366-1717
Merit-based Incentive Payment System (MIPS)
- Final score
- 66.41 of 100
- Quality
- 30.12
- Promoting interoperability
- 80
- Improvement activities
- 40
- Cost
- 57.93
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230623003121 | MD | Practitioner - Nurse Practitioner | 1355709296 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nurse Practitioner on Call LLC | Psychiatric/Mental Health | Current |
Accepting new patients |
| University Psychological Center, Inc. | Current |
Accepting new patients | |
| Kunab Psychiatric Services | Psychiatric/Mental Health | Current |
Accepting new patients |
| Sheppard Pratt Physicians, P.a. | Current |
Accepting new patients | |
| University Psychological Center, Inc | Current |
Accepting new patients | |
| Sheppard Pratt Health System, Inc. | Past | Accepting new patients |
Locations
185 Admiral Cochrane Dr
Ste 120
Annapolis, MD 21401
21 W 25th St
Baltimore, MD 21218
Phone (410) 366-1717
1800 N Charles St
Ste 804
Baltimore, MD 21201
Phone (240) 667-1679
6501 N Charles St
Towson, MD 21204
Phone (410) 938-3000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R170217 | MD | Yes |
Addresses
Primary practice location
3001 S Hanover St
Baltimore, MD 21225-1233
Mailing address
3107 Farley Dr
Windsor Mill, MD 21244-2079
Phone (310) 728-2428
Other providers in Baltimore, MD
- Nurudeen Almaroof Ademola
- Nebiyu Adenaw
- Ayorinde C Adenegan
- Damilola Fasugba Adeniji
- Abdullahi Adewale Adenola
- David Adeoye
- Simi Adeoye
- Wakeelat A Adeoye
- Adepec Inc
- Adeyinka A Adepoju
All providers in Baltimore, MD · Psychiatric/Mental Health Nurse Practitioner in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2022. 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.