OLUBOLA TOMILOLA ADESUYI
NPI 1093513236
Nurse Practitioner - Psychiatric/Mental Health in Vienna, VA
About Olubola Tomilola Adesuyi NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OLUBOLA TOMILOLA ADESUYI (NPI 1093513236) is an individual psychiatric/mental health provider in Vienna, Virginia, licensed in Virginia (24192768) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Olubola Tomilola Adesuyi is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Olubola Adesuyi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Chantilly, VA 20152
- Reassigned Medicare billing, District of Columbia and Virginia enrollments
- 7 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 22182 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TYSONS CORNER, VA 22182
TYSONS CORNER, VA 22182
VIENNA, VA 22182
VIENNA, VA 22182
TYSONS CORNER, VA 22182
TYSONS CORNER, VA 22182
TYSONS CORNER, VA 22182
VIENNA, VA 22182
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 Olubola Adesuyi's NPI number?
The NPI number for Olubola Adesuyi is 1093513236. It was assigned to this individual provider in the NPPES registry on March 4, 2025.
Where is Olubola Adesuyi located?
Olubola Adesuyi practices at 8609 Westwood Center Dr Ste 110, Vienna, VA 22182. The listed phone number is (703) 722-4828.
What is Olubola Adesuyi's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Olubola Adesuyi enrolled in Medicare?
Yes. Olubola Adesuyi is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Olubola Adesuyi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Olubola Adesuyi reassigns Medicare benefits to Oasis Mental Health Services LLC (Chantilly, VA). The 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 Olubola Adesuyi'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 Olubola Adesuyi was last updated on October 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.
# Olubola Tomilola Adesuyi · NPI 1093513236
Psychiatric/Mental Health physician in Vienna, Virginia. Individual provider, active in the CMS NPPES registry since March 4, 2025.
## Identity
- **NPI:** 1093513236 (Entity type: Individual)
- **Enumerated:** March 4, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 24192768 (Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 8609 WESTWOOD CENTER DR STE 110, Vienna, VA 22182-7525
- **Phone:** (703) 722-4828
## 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:** Oasis Mental Health Services LLC (NPI 1093406712, Chantilly, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** October 20, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1093513236) · Data from the CMS NPPES public registry.