NPIMap

Individual provider Active NPI

Adeleke A. Ogunmefun, M.D.

  • Psychiatry Physician
  • Annapolis, MD
National Provider Identifier
1982668265
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D0056432 Issued in MD
Practice address
134 Holiday CT
Suite 302
Annapolis, MD 21401-7008
Phone
(410) 266-1600
Fax
(410) 266-5554
NPI assigned
Apr 14, 2006
Last updated
Oct 27, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X D0056432 MD Primary
Geriatric Psychiatry Physician 2084P0805X D0056432 MD

Addresses

Primary practice location

134 Holiday CT
Suite 302
Annapolis, MD 21401-7008

Mailing address

134 Holiday CT
Suite 302
Annapolis, MD 21401-7008
Phone (410) 266-1600

Other identifiers 1

IdentifierTypeStateIssuer
805801600MedicaidMD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aogunmefun746757@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Bayside Behavioral Health of Annapolis Past Accepting new patients
University of Maryland Psychiatry Associates, PA Psychiatry Past Accepting new patients
Bayside Behavioral Health Clinic of Annapolis Past Accepting new patients
Comptroller of Maryland Central Payroll Bureau Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: aogunmefun746757@direct.novanthealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1982668265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 HOLIDAY CT",
            "address_2": "SUITE 302",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017008",
            "telephone_number": "410-266-1600",
            "fax_number": "410-266-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 HOLIDAY CT",
            "address_2": "SUITE 302",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017008",
            "telephone_number": "410-266-1600",
            "fax_number": "410-266-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGUNMEFUN",
        "first_name": "ADELEKE",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2020-10-27",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0056432",
            "primary": true
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "MD",
            "license": "D0056432",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805801600",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aogunmefun746757@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "134 Holiday Ct",
            "address_2": "Suite 302",
            "city": "Annapolis",
            "state": "MD",
            "country_code": "US",
            "postal_code": "214017008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.