PROACTIVE HEALTHCARE SERVICES LLC
NPI 1124981592
Clinic/Center - Primary Care in Glenn Dale, MD
About Proactive Healthcare Services Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROACTIVE HEALTHCARE SERVICES LLC (NPI 1124981592) is a healthcare organization registered as a primary care in Glenn Dale, Maryland and active in the NPI registry since December 2025. The organization lists Oluwabusuyi Ogunsola, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Proactive Healthcare Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Proactive Healthcare Services LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Proactive Healthcare Services LLC's NPI number?
The NPI number for Proactive Healthcare Services LLC is 1124981592. It was assigned to this organization in the NPPES registry on December 3, 2025.
Where is Proactive Healthcare Services LLC located?
Proactive Healthcare Services LLC is located at 7023 Corner Creek Way, Glenn Dale, MD 20769. The listed phone number is (227) 218-8737.
What is Proactive Healthcare Services LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Proactive Healthcare Services LLC enrolled in Medicare?
Yes. Proactive Healthcare Services LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Proactive Healthcare Services LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Proactive Healthcare Services LLC. A 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 the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Proactive Healthcare Services LLC was last updated on December 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Proactive Healthcare Services Llc · NPI 1124981592
Primary Care organization in Glenn Dale, Maryland. Organization record, active in the CMS NPPES registry since December 3, 2025.
## Identity
- **NPI:** 1124981592 (Entity type: Organization)
- **Enumerated:** December 3, 2025
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Oluwabusuyi Ogunsola, PRESIDENT
## Practice location
- **Address:** 7023 CORNER CREEK WAY, Glenn Dale, MD 20769-9472
- **Phone:** (227) 218-8737
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 3, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1124981592) · Data from the CMS NPPES public registry.