Active NPI
Abolanle Abosede Olubunmi
- Primary Care Nurse Practitioner
- Annapolis, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- RN139784
- Practice address
- 1833 Forest Dr
Annapolis, MD 21401-4580 - Phone
- (410) 216-9180
- NPI assigned
- Sep 11, 2014
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | RN139784 | MD | |
| Gerontology Nurse Practitioner | 363LG0600X | RN139784 | MD | |
| Primary Care Nurse Practitioner | 363LP2300X | RN139784 | MD | Primary |
Addresses
Primary practice location
1833 Forest Dr
Annapolis, MD 21401-4580
Mailing address
3033 N Dale LN
Bowie, MD 20716-1325
Phone (301) 437-2228
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- 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, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2191 Defense Hwy
Suite 201
Crofton, MD 21114-2469
Phone (410) 451-9091
4000 Mitchellville Rd
Suite B116
Bowie, MD 20716-3143
Phone (301) 599-9500
4175 N Hanson Court
201 Luminis Health Breast Center of Bowie
Bowie, MD 20716-3181
Phone (443) 481-5300
4175 N Hanson CT
Bowie, MD 20716-3181
8116 Good Luck Rd
Lanham, MD 20706-3508
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.45 of 100
- Quality
- 67.28
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 72.57
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN139784 | MD | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luminis Health Medical Group, LLC | Current | Accepting new patients | |
| Luminis Health Medical Group, LLC | Current | Accepting new patients | |
| Luminis Health Medical Group, LLC | Current | Accepting new patients | |
| Luminis Health Medical Group, LLC | Current | Accepting new patients | |
| Luminis Health Medical Group, LLC | Current | Accepting new patients | |
| Capital Orthopaedic Specialists LLC | Past | Accepting new patients | |
| Luminis Health Medical Group, LLC | Past | Accepting new patients |
Locations
2001 Medical Pkwy
Ofc
Annapolis, MD 21401
Phone (443) 481-1091
2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366
4000 Mitchellville Rd
Ste B116
Bowie, MD 20716
Phone (301) 464-4503
4175 N Hanson Ct
Ste 201
Bowie, MD 20716
Phone (443) 481-1199
1630 Main St
Ste 213
Chester, MD 21619
Phone (443) 481-5300
2191 Defense Hwy
Ste 201
Crofton, MD 21114
Phone (410) 451-9091
28438 Marlboro Ave
Easton, MD 21601
Phone (410) 820-7270
8116 Good Luck Rd
Ste 200
Lanham, MD 20706
Phone (301) 552-4131
8116 Good Luck Rd
Lanham, MD 20706
Phone (410) 882-3459
8118 Good Luck Rd
Lanham Seabrook, MD 20706
Phone (301) 552-8608
1106 Annapolis Rd
Ste 130
Odenton, MD 21113
Phone (410) 295-8900
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.
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-
- Internal Medicine Physician
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- NPI 1316372931
-
- Internal Medicine Physician
- Bowie, MD
- NPI 1720835010
-
- Orthopaedic Surgery Physician
- Suitland, MD
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-
- Internal Medicine Physician
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410393600000",
"number": "1982005708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3033 N DALE LN",
"city": "BOWIE",
"state": "MD",
"postal_code": "207161325",
"telephone_number": "301-437-2228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1833 FOREST DR",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214014580",
"telephone_number": "410-216-9180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLUBUNMI",
"first_name": "ABOLANLE",
"middle_name": "ABOSEDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-11",
"last_updated": "2014-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MD",
"license": "RN139784",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MD",
"license": "RN139784",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "MD",
"license": "RN139784",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; 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.