INI BALOGUN
NPI 1124997713
Nurse Practitioner - Primary Care in Bowie, MD

Q: What is Ini Balogun's NPI number?

The NPI number for Ini Balogun is 1124997713. It was assigned to this individual provider in the NPPES registry on November 3, 2025.

Q: What is Ini Balogun's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Ini Balogun was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since November 03, 2025

4305 NORTHVIEW DR, BOWIE, MD 20716(240) 473-9999 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ini Balogun NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INI BALOGUN (NPI 1124997713) is an individual primary care provider in Bowie, Maryland, licensed in Maryland (R210483) and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1124997713

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameINI BALOGUN

Location Address4305 NORTHVIEW DRBowie, MD 20716-2600

Mailing Address10813 Rhodenda PlUpper Marlboro, MD 20772-4824 · (571) 201-9970

Phone(240) 473-9999

Sole ProprietorNo

Enumeration DateNovember 3, 2025

NPPES CertifiedOctober 30, 2025

✔ NPI 1124997713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in MD · R210483

4305 NORTHVIEW DR, Bowie, MD 20716

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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 Ini Balogun's NPI number?

The NPI number for Ini Balogun is 1124997713. It was assigned to this individual provider in the NPPES registry on November 3, 2025.

Where is Ini Balogun located?

Ini Balogun practices at 4305 Northview Dr, Bowie, MD 20716. The listed phone number is (240) 473-9999.

What is Ini Balogun's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Ini Balogun was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.