Individual provider Active NPI

Daramola Akindele Ayoade

  • Nurse Practitioner
  • Washington, DC
National Provider Identifier
1922587120
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP1014579 Issued in DC
Practice address
4 Atlantic St SW
Washington, DC 20032-2350
Phone
(202) 407-7747
NPI assigned
Aug 8, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024176461 VA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R182905 MD
Nurse Practitioner 363L00000X NP1014579 DC Primary

Addresses

Primary practice location

4 Atlantic St SW
Washington, DC 20032-2350

Mailing address

9213 Fulton Ave
Laurel, MD 20723-1894
Phone (301) 642-2029

Other practice location 1

6501 N Charles St
Towson, MD 21204-6819
Phone (410) 938-3000

Other practice location 2

25 S Quaker Ln Ste 4
Alexandria, VA 22314-4552
Phone (571) 257-4398

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210119002663 DC Practitioner - Nurse Practitioner 4688919194 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community of Hope, IncGroup PAC ID 5092612762, 54 clinicians

Practice addresses (Care Compare)

2120 Bladensburg Rd NE
Washington, DC 20018-1440
Phone (202) 407-7747

2375 Elvans Rd SE
Stanton Commons
Washington, DC 20020-3543
Phone (202) 407-7747

4 Atlantic St SW
Washington, DC 20032-2350
Phone (202) 407-7747

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP1014579DCMDNurse Practitioner
0024176461VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community of Hope Inc. CurrentSince Jan 4, 2021 Accepting new patients
Community of Hope, Inc. Current Accepting new patients
Community of Hope Inc. CurrentSince Jan 4, 2021 Accepting new patients
Magnum Healthcare Psychiatric/Mental Health CurrentSince Jan 1, 2025 Accepting new patients

Locations

2155 Champlain St NW
Washington, DC 20009
Phone (202) 407-3080

2120 Bladensburg Rd NE
Washington, DC 20018
Phone (202) 407-3080

4 Atlantic St SW
Washington, DC 20032
Phone (202) 407-3080

10770 Columbia Pike
Ste 300
Silver Spring, MD 20901
Phone (240) 633-0853

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720137600000",
    "number": "1922587120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9213 FULTON AVE",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207231894",
            "telephone_number": "301-642-2029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 ATLANTIC ST SW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200322350",
            "telephone_number": "202-407-7747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6501 N Charles St",
            "address_purpose": "LOCATION",
            "city": "Towson",
            "state": "MD",
            "postal_code": "212046819",
            "country_code": "US",
            "telephone_number": "410-938-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 S Quaker Ln Ste 4",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223144552",
            "country_code": "US",
            "telephone_number": "571-257-4398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AYOADE",
        "first_name": "DARAMOLA",
        "middle_name": "AKINDELE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-08",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024176461",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R182905",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DC",
            "license": "NP1014579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.