OLUSEYI IGE OGUNDANA CRNP
NPI 1023667557
Nurse Practitioner - Family in Baltimore, MD
About Oluseyi Ige Ogundana Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OLUSEYI IGE OGUNDANA CRNP (NPI 1023667557) is an individual family provider in Baltimore, Maryland, licensed in Maryland (R223394) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Oluseyi Ige Ogundana Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Oluseyi Ogundana reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Baltimore, MD 21202
- Reassigned Medicare billing, Maryland enrollment
- 38 clinicians in this Medicare group
Silver Spring, MD 20910
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 111 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21215 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BALTIMORE, MD 21215
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Oluseyi Ogundana's NPI number?
The NPI number for Oluseyi Ogundana is 1023667557. It was assigned to this individual provider in the NPPES registry on September 7, 2019.
Where is Oluseyi Ogundana located?
Oluseyi Ogundana practices at 4615 Park Heights Ave, Baltimore, MD 21215. The listed phone number is (240) 413-5721.
What is Oluseyi Ogundana's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Oluseyi Ogundana enrolled in Medicare?
Yes. Oluseyi Ogundana is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Oluseyi Ogundana's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Oluseyi Ogundana reassigns Medicare benefits to 2 organizations: Salus Capital Inc (Baltimore, MD) and Consonant Healing Medical Associates (Silver Spring, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Oluseyi Ogundana's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Oluseyi Ogundana was last updated on September 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Oluseyi Ige Ogundana, CRNP · NPI 1023667557
Family physician in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since September 7, 2019.
## Identity
- **NPI:** 1023667557 (Entity type: Individual)
- **Enumerated:** September 7, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R223394 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4615 PARK HEIGHTS AVE, Baltimore, MD 21215-6331
- **Phone:** (240) 413-5721
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Salus Capital Inc (NPI 1568859478, Baltimore, MD); Consonant Healing Medical Associates (NPI 1588122535, Silver Spring, MD) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 10, 2023
- **Other identifiers:** Medicaid 4884 (MD)
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Source: [NPI Profile](https://npiprofile.com/npi/1023667557) · Data from the CMS NPPES public registry.