Individual provider Active NPI

Folake Olubasusi, RN, MSN, FNP-BC

  • Surgery Physician
  • Gaithersburg, MD
National Provider Identifier
1912525114
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
R210372 Issued in MD
Practice address
220 Girard St Ste 100
Gaithersburg, MD 20877-3467
Phone
(866) 877-7258
NPI assigned
Jul 14, 2020
Last updated
Feb 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R210372 MD
Internal Medicine Physician 207R00000X R210372 MD
Surgery Physician 208600000X R210372 MD Primary

Addresses

Primary practice location

220 Girard St Ste 100
Gaithersburg, MD 20877-3467

Mailing address

909 Ridgebrook Rd Ste 220
Sparks, MD 21152-9476

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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
I20200729000067 DC Practitioner - Nurse Practitioner 6002231727 Reassigns benefits to 2 organizations
I20210316000646 MD Practitioner - Nurse Practitioner 6002231727 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Clinic, IncGroup PAC ID 6204722614, 33 clinicians

Practice addresses (Care Compare)

7676 New Hampshire Ave
Takoma Park, MD 20912-7514
Phone (301) 431-2972

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
R210372MDMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Clinic, Inc CurrentSince Feb 19, 2024 Accepting new patients
Consonant Healing Medical Associates Internal Medicine CurrentSince Jul 14, 2020 Accepting new patients
Community Clinic, Inc. Internal Medicine CurrentSince Feb 19, 2024 Accepting new patients
Community Clinic, Inc. Internal Medicine Past Accepting new patients

Locations

919 Seton Dr
Cumberland, MD 21502
Phone (301) 777-0622

220 Girard St
Ste 100
Gaithersburg, MD 20877
Phone (301) 216-0880

2700 Barker St
Silver Spring, MD 20910
Phone (301) 565-0300

8403 Colesville Rd
Ste 1100
Silver Spring, MD 20910
Phone (301) 905-7762

8630 Fenton St
Ste 1200
Silver Spring, MD 20910
Phone (301) 585-1250

8630 Fenton St
Ste 1204
Silver Spring, MD 20910
Phone (240) 499-2636

8665 Georgia Ave
Silver Spring, MD 20910
Phone (301) 340-7525

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

7676 New Hampshire Ave
Ste 220A
Takoma Park, MD 20912
Phone (301) 431-2972

Interoperability endpoints

  • Direct secure messaging: folake.olubasusi@ccicares.eclinicaldirectplus.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1912525114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 RIDGEBROOK RD STE 220",
            "city": "SPARKS",
            "state": "MD",
            "postal_code": "211529476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 GIRARD ST STE 100",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208773467",
            "telephone_number": "866-877-7258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLUBASUSI",
        "first_name": "FOLAKE",
        "credential": "RN, MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-14",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R210372",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "R210372",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "R210372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

Verify at the official NPI Registry.