Active NPI
Kehinde Oluwatoyin Adedulu, NP
- Family Nurse Practitioner
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R236449
- Practice address
- 201 E University Pkwy
Baltimore, MD 21218-2829 - Phone
- (443) 657-3063
- NPI assigned
- Mar 7, 2024
- Last updated
- Mar 7, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R236449 | MD | Primary |
Addresses
Primary practice location
201 E University Pkwy
Baltimore, MD 21218-2829
Mailing address
9387 Rock Ripple LN
Laurel, MD 20723-6017
Phone (443) 687-5940
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of South Alabama College of Medicine, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1406 Crain S Hwy 106
Glen Burnie, MD 21061-4086
Phone (410) 768-6440
3001 S Hanover St
Baltimore, MD 21225-1233
3300 N Calvert St
Baltimore, MD 21218-2820
Phone (410) 554-6629
9105 Franklin Square Dr
Suite 209
Baltimore, MD 21237-3958
Phone (410) 554-6550
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Medstar Heart Institute LLC | Current | Accepting new patients | |
| AMC Healthcare Hydration | Past | Accepting new patients |
Locations
3007 Tilden St NW
Ste 5N
Washington, DC 20008
201 E University Pkwy
Baltimore, MD 21218
Phone (410) 554-2651
3300 N Calvert St
Ste 2
Baltimore, MD 21218
Phone (410) 554-6550
3333 N Calvert St
Baltimore, MD 21218
Phone (410) 235-5405
9105 Franklin Square Dr
Ste 209
Rosedale, MD 21237
Phone (410) 574-1330
Interoperability endpoints
- kehinde.adedulu.1@28492.direct.athenahealth.com
Organizations & group practices 4
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.
-
- General Practice Physician
- Baltimore, MD
- NPI 1184046187
-
- Internal Medicine Physician
- Washington, DC
- NPI 1376887844
-
- Health Service Clinic/Center
- Lanham, MD
- NPI 1457118788
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1720175623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709769600000",
"number": "1821856642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9387 ROCK RIPPLE LN",
"city": "LAUREL",
"state": "MD",
"postal_code": "207236017",
"telephone_number": "443-687-5940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 E UNIVERSITY PKWY",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212182829",
"telephone_number": "443-657-3063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADEDULU",
"first_name": "KEHINDE",
"middle_name": "OLUWATOYIN",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-07",
"last_updated": "2024-03-07",
"certification_date": "2024-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R236449",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.