Individual provider Active NPI

Babatunde Olujobi, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Upper Marlboro, MD
National Provider Identifier
1912678244
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R202077 Issued in MD
Practice address
11405 Villa CT
Upper Marlboro, MD 20774-5702
Phone
(240) 321-9637
Fax
(833) 666-0851
NPI assigned
Sep 27, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R202077 MD Primary

Addresses

Primary practice location

11405 Villa CT
Upper Marlboro, MD 20774-5702

Mailing address

11405 Villa CT
Upper Marlboro, MD 20774-5702
Phone (240) 321-9637

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, DE3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20211119000169 MD Practitioner - Nurse Practitioner 3971992595 Reassigns benefits to 3 organizations
I20220126000859 DC Practitioner - Nurse Practitioner 3971992595 Reassigns benefits to 2 organizations
I20240802001092 DE Practitioner - Nurse Practitioner 3971992595

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Reflections Behavioral HealthGroup PAC ID 3274986096, 4 clinicians

Practice addresses (Care Compare)

11405 Villa CT
Upper Marlboro, MD 20774-5702
Phone (718) 309-1190

8840 Belair Rd
Nottingham, MD 21236-2401
Phone (667) 262-9100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R202077MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Change Health Systems, Inc CurrentSince Jun 13, 2022 Accepting new patients
Maryland Primary Care and Wellness CurrentSince May 13, 2022 Accepting new patients
Reflections Behavioral Health CurrentSince Jan 17, 2024 Accepting new patients
Suggero Healthcare Services LLC Psychiatric/Mental Health CurrentSince Sep 1, 2021 Accepting new patients
Salus Health Inc CurrentSince Sep 24, 2021 Accepting new patients
Change Health Systems, Inc Current Accepting new patients
Maryland Primary Care and Wellness CurrentSince May 13, 2022 Accepting new patients

Locations

1020 Saint Paul St
Baltimore, MD 21202
Phone (410) 529-0348

2401 Liberty Heights Ave
Ste 4670
Baltimore, MD 21215
Phone (410) 233-1088

44 N Potomac St
Ste 101
Hagerstown, MD 21740
Phone (240) 347-1403

8840 Belair Rd
Nottingham, MD 21236
Phone (443) 883-1826

14314 Old Marlboro Pike
Uppr
Uppr Marlboro, MD 20772
Phone (301) 627-3500

14314 Old Marlboro Pike
Uppr Marlboro, MD 20772
Phone (301) 627-3500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25683/brand/1/csg/1/fhir/r4
  • Direct secure messaging: babatunde.olujobi.1@25683.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1912678244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11405 VILLA CT",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207745702",
            "telephone_number": "240-321-9637",
            "fax_number": "833-666-0851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11405 VILLA CT",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207745702",
            "telephone_number": "240-321-9637",
            "fax_number": "833-666-0851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLUJOBI",
        "first_name": "BABATUNDE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-27",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R202077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

Verify at the official NPI Registry.