Active NPI
Folake Olubasusi, RN, MSN, FNP-BC
- Surgery Physician
- Gaithersburg, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- R210372
- Practice address
- 220 Girard St Ste 100
Gaithersburg, MD 20877-3467 - Phone
- (866) 877-7258
- NPI assigned
- Jul 14, 2020
- Last updated
- Feb 16, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| R210372 | MD | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Clinic, Inc | Current | Accepting new patients | |
| Consonant Healing Medical Associates | Internal Medicine | Current | Accepting new patients |
| Community Clinic, Inc. | Internal Medicine | Current | 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
- folake.olubasusi@ccicares.eclinicaldirectplus.com
- 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.
-
dba CCI Health Services
- Federally Qualified Health Center (FQHC)
- Takoma Park, MD
- NPI 1790730281
DC, Internal Medicine
-
- Surgery Physician
- Silver Spring, MD
- NPI 1588122535
DC, Internal Medicine
-
dba CCI Ora Glen Pharmacy
- Community/Retail Pharmacy
- Greenbelt, MD
- NPI 1295560878
-
- Federally Qualified Health Center (FQHC)
- Gaithersburg, MD
- NPI 1699817775
Internal Medicine
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; 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.