Individual provider Active NPI

Oyinlola A Olasewere, P.A.

  • Medical Physician Assistant
  • Bowie, MD
National Provider Identifier
1780605600
Registry record updated Aug 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
C0003303 Issued in MD
Practice address
15001 Health Center Dr
Bowie, MD 20716-1017
Phone
(204) 515-5774
NPI assigned
Jul 23, 2006
Last updated
Aug 20, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X C0003303 MD Primary

Addresses

Primary practice location

15001 Health Center Dr
Bowie, MD 20716-1017

Mailing address

15001 Health Center Drive
Bowie, MD 20716-6378
Phone (204) 515-5774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070113000131 MD Practitioner - Physician Assistant 6800896952 Reassigns benefits to 2 organizations
I20070917000424 DC Practitioner - Physician Assistant 6800896952 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Howard University College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Urgent Care LLCGroup PAC ID 9335303155, 300 clinicians

Practice addresses (Care Compare)

11915 Georgia Ave
Wheaton, MD 20902-2065
Phone (301) 942-4505

20 University Blvd E
Silver Spring, MD 20901-2436
Phone (240) 863-2720

3064 Waldorf Market PL
Waldorf, MD 20603-4871
Phone (301) 932-5960

3350 Crain Hwy
Waldorf, MD 20603-4850
Phone (443) 584-5787

6317 York Rd
Baltimore, MD 21212-2310
Phone (443) 777-6890

6401 America Blvd
Hyattsville, MD 20782-2357
Phone (301) 276-8800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins Community Physicians CurrentSince Dec 1, 2020 Accepting new patients
Medstar Urgent Care LLC CurrentSince Feb 7, 2024 Accepting new patients
Johns Hopkins Community Physicians CurrentSince Dec 1, 2020 Accepting new patients
Medstar Urgent Care, LLC CurrentSince Feb 17, 2024 Accepting new patients
Medstar Urgent Care LLC CurrentSince Feb 7, 2024 Accepting new patients
Joseph S. Fastow, M.D., P.a. Past Accepting new patients

Locations

1000 E Eager St
Baltimore, MD 21202
Phone (410) 522-9800

6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890

6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704

3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960

11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505

Interoperability endpoints

  • Direct secure messaging: oyinlola.olasewere.1@16549.direct.athenahealth.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376956800000",
    "number": "1780605600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15001 HEALTH CENTER DRIVE",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207166378",
            "telephone_number": "204-515-5774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15001 HEALTH CENTER DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207161017",
            "telephone_number": "204-515-5774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLASEWERE",
        "first_name": "OYINLOLA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-23",
        "last_updated": "2013-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0003303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

Verify at the official NPI Registry.