Ademiposi Angela Adegbulugbe, M.D
Individual provider Active NPI Infectious Disease Physician · Cheverly, MD
NPI 1942467386 · NPPES record last updated Sep 3, 2020
Key facts
- NPI
- 1942467386
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Infectious Disease Physician 207RI0200X
- License
- D69729 (MD)
- Practice address
- 3001 Hospital Dr
Cheverly, MD 20785-1189 - Phone
- (301) 618-2000
- NPI assigned
- May 22, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Total Health Care Inc
Practice addresses (Care Compare)
1501 Division St
Baltimore, MD 21217-3121
Phone (410) 383-8300
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100406000536 | MD | Practitioner - Internal Medicine | 4082740790 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D69729 | MD | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Health Care Inc | Current |
Accepting new patients | |
| Total Health Care Inc. | Current |
Accepting new patients | |
| Total Health Care Inc | Past | Accepting new patients | |
| Total Health Care Inc | Past | Accepting new patients |
Locations
1501 Division St
Baltimore, MD 21217
Phone (410) 735-5390
2400 Kirk Ave
Baltimore, MD 21218
Phone (410) 243-1800
1111 Washington Blvd
Baltimore, MD 21230
Phone (410) 783-1859
1501 W Saratoga St
Baltimore, MD 21223
Phone (410) 383-7197
2288 Blue Water Blvd
Ste 440
Odenton, MD 21113
Phone (410) 674-7403
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GJFJBD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D69729 | MD | |
| Infectious Disease Physician | 207RI0200X | D69729 | MD | Yes |
Addresses
Primary practice location
3001 Hospital Dr
Cheverly, MD 20785-1189
Mailing address
1501 Division St
Baltimore, MD 21217-3121
Phone (410) 383-8300
Other providers in Cheverly, MD
- Musilimot Abiola
- Absolutely Divine Home Care Agency, Inc.
- Absolutely Yours Home Care LLC
- Tatiana Ezahsi Ache
- Abolaji John Adefuye
- Adem Lifecare Inc
- Omolola Olohigbe Adesina
- Adijat Alaba Adesiyan
- Olubukola Adetoye
- Sunday Abiodun Adewusi
All providers in Cheverly, MD · Infectious Disease Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.