Individual provider Active NPI

Opeyemi Taiwo, NP

  • Family Nurse Practitioner
  • Burtonsville, MD
National Provider Identifier
1962385575
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R231124 Issued in MD
Practice address
14848 Silver Ash CT
Burtonsville, MD 20866-1337
Phone
(240) 547-8685
NPI assigned
Jul 30, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R231124 MD
Family Nurse Practitioner 363LF0000X R231124 MD Primary

Addresses

Primary practice location

14848 Silver Ash CT
Burtonsville, MD 20866-1337

Mailing address

14848 Silver Ash CT
Burtonsville, MD 20866-1337
Phone (240) 547-8685

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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
I20251031000578 MD Practitioner - Nurse Practitioner 0042709859 Reassigns benefits to 1 organization
I20251031000702 DC Practitioner - Nurse Practitioner 0042709859 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Zeus Primary Care Associates LLCGroup PAC ID 7113343443, 15 clinicians

Practice addresses (Care Compare)

50 W Edmonston Dr
Suite 404
Rockville, MD 20852-1274
Phone (301) 762-7723

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R231124MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Zeus Primary Care Associates LLC CurrentSince Oct 20, 2025 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

818 W Diamond Ave
Ste 130
Gaithersburg, MD 20878
Phone (301) 762-7723

50 W Edmonston Dr
Ste 404
Rockville, MD 20852
Phone (301) 762-7723

Interoperability endpoints

  • Direct secure messaging: opeyemi.taiwo.1@22023.direct.athenahealth.com

Organizations & group practices 2

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": "1753833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1962385575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14848 SILVER ASH CT",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208661337",
            "telephone_number": "240-547-8685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14848 SILVER ASH CT",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208661337",
            "telephone_number": "240-547-8685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAIWO",
        "first_name": "OPEYEMI",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-30",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R231124",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R231124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burtonsville, MD

Sources for this page

Verify at the official NPI Registry.