MR. OLAOLU FADAIRO NP
NPI 1265025969
Nurse Practitioner - Psychiatric/Mental Health in Bowie, MD
About Mr. Olaolu Fadairo Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. OLAOLU FADAIRO NP (NPI 1265025969) is an individual psychiatric/mental health provider in Bowie, Maryland, licensed in District Of Columbia (RN1002211) and active in the NPI registry since February 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2024).
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 and accepts Medicare assignment
Mr. Olaolu Fadairo Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Olaolu Fadairo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bowie, MD 20721
- Reassigned Medicare billing, District of Columbia enrollment
Lanham, MD 20706
- Reassigned Medicare billing, Maryland enrollment
- 28 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 20721 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BOWIE, MD 20721
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 Olaolu Fadairo's NPI number?
The NPI number for Olaolu Fadairo is 1265025969. It was assigned to this individual provider in the NPPES registry on February 15, 2021.
Where is Olaolu Fadairo located?
Olaolu Fadairo practices at 1007 Kings Heather Dr, Bowie, MD 20721. The listed phone number is (301) 648-9340.
What is Olaolu Fadairo's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Olaolu Fadairo enrolled in Medicare?
Yes. Olaolu Fadairo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Olaolu Fadairo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Olaolu Fadairo reassigns Medicare benefits to 2 organizations: Bowie Psychiatric Professional Associate LLC (Bowie, MD) and Maryland Wellness LLC (Lanham, 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 Olaolu Fadairo'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 Olaolu Fadairo was last updated on February 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Mr. Olaolu Fadairo, NP · NPI 1265025969
Psychiatric/Mental Health physician in Bowie, Maryland. Individual provider, active in the CMS NPPES registry since February 15, 2021.
## Identity
- **NPI:** 1265025969 (Entity type: Individual)
- **Enumerated:** February 15, 2021
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** RN1002211 (District of Columbia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1007 KINGS HEATHER DR, Bowie, MD 20721-2010
- **Phone:** (301) 648-9340
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **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): Bowie Psychiatric Professional Associate LLC (NPI 1821705930, Bowie, MD); Maryland Wellness LLC (NPI 1851348536, Lanham, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** February 15, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1265025969) · Data from the CMS NPPES public registry.