Individual provider Active NPI

Olabunmi A. Agboola, M.D.

  • Internal Medicine Physician
  • Washington, DC
National Provider Identifier
1861719023
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
101264723 Issued in VA
Practice address
660 Pennsylvania Ave SE Ste 101
Washington, DC 20003-4354
Phone
(202) 758-2682
NPI assigned
Apr 28, 2010
Last updated
Jul 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 2014-00817 NC
Allergy & Immunology Physician 207K00000X MD046677 DC
Internal Medicine Physician 207R00000X 101264723 VA Primary
Hospitalist Physician 208M00000X D87384 MD
Hospitalist Physician 208M00000X 2014-00817 NC

Addresses

Primary practice location

660 Pennsylvania Ave SE Ste 101
Washington, DC 20003-4354

Mailing address

660 Pennsylvania Ave SE Ste 101
Washington, DC 20003-4354
Phone (202) 758-2682

Other practice location 1

100 Hospital Rd
Prince Frederick, MD 20678-4017
Phone (410) 535-4000

Other practice location 2

200 Trent Dr
Durham, NC 27710-3037
Phone (919) 668-3351

Other practice location 3

13000 Harbor Center Dr Ste 212
Woodbridge, VA 22192-2847
Phone (703) 955-5355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA, DC, MD4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20150114000647 NC Practitioner - Allergy/ImmunologyPractitioner - Internal MedicinePractitioner - Pediatric Medicine 7113241589 Reassigns benefits to 1 organization
I20181010000174 VA Practitioner - Hospitalist 7113241589 Reassigns benefits to 1 organization
I20190508003045 DC Practitioner - Allergy/ImmunologyPractitioner - Internal MedicinePractitioner - Pediatric Medicine 7113241589 Reassigns benefits to 1 organization
I20190903000541 MD Practitioner - HospitalistPractitioner - Pediatric MedicinePractitioner - Internal Medicine 7113241589 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine, Pediatric Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

660 Pennsylvania Ave SE
Suite 101
Washington, DC 20003-4354
Phone (202) 758-2682

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
101264723VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mdics at Calvert LLC Multi-Specialty CurrentSince Jul 13, 2019 Accepting new patients
Adfinitas Health at Fauquier, LLC Multi-Specialty CurrentSince Aug 1, 2018 Accepting new patients
Select Specialty Hospital - Durham Inc CurrentSince Mar 20, 2017 Accepting new patients
Select Specialty Hospital - Durham Inc. Multi-Specialty CurrentSince Mar 20, 2017 Accepting new patients
Ilera Allergy and Asthma Center Multi-Specialty CurrentSince Mar 1, 2022 Accepting new patients

Locations

660 Pennsylvania Ave SE
Ste 101
Washington, DC 20003
Phone (202) 546-0062

7250 Parkway Dr
Ste 500
Hanover, MD 21076
Phone (410) 999-1130

100 Hospital Rd
Prnc Frederck, MD 20678
Phone (410) 414-4791

3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186

500 Hospital Dr
Warrenton, VA 20186
Phone (540) 316-5000

Organizations & group practices 5

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": "1272412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1861719023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 PENNSYLVANIA AVE SE STE 101",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200034354",
            "telephone_number": "202-758-2682",
            "fax_number": "202-758-2816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 PENNSYLVANIA AVE SE STE 101",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200034354",
            "telephone_number": "202-758-2682"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "Prince Frederick",
            "state": "MD",
            "postal_code": "206784017",
            "country_code": "US",
            "telephone_number": "410-535-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Trent Dr",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277103037",
            "country_code": "US",
            "telephone_number": "919-668-3351",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13000 Harbor Center Dr Ste 212",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221922847",
            "country_code": "US",
            "telephone_number": "703-955-5355",
            "fax_number": "703-955-5348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGBOOLA",
        "first_name": "OLABUNMI",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-28",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NC",
            "license": "2014-00817",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "DC",
            "license": "MD046677",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "101264723",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MD",
            "license": "D87384",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NC",
            "license": "2014-00817",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.