BOLATITO A OWOLABI
NPI 1356944136
Nurse Practitioner - Primary Care in Bowie, MD
About Bolatito A Owolabi NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BOLATITO A OWOLABI (NPI 1356944136) is an individual primary care provider in Bowie, Maryland, licensed in District Of Columbia (RN1034864) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
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
Bolatito A Owolabi 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 Bolatito Owolabi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Annapolis, MD 21403
- Reassigned Medicare billing, Maryland and District of Columbia enrollments
- Also billed through NPI 1780056168 (District of Columbia)
- 94 clinicians in this Medicare group
Columbia, MD 21044
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 200 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.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20716 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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 Bolatito Owolabi's NPI number?
The NPI number for Bolatito Owolabi is 1356944136. It was assigned to this individual provider in the NPPES registry on November 16, 2020.
Where is Bolatito Owolabi located?
Bolatito Owolabi practices at 15624 N Platte Dr, Bowie, MD 20716. The listed phone number is (124) 069-5412.
What is Bolatito Owolabi's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Bolatito Owolabi enrolled in Medicare?
Yes. Bolatito Owolabi 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 Bolatito Owolabi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bolatito Owolabi reassigns Medicare benefits to 2 organizations: M Medical Group, Inc. (Annapolis, MD) and Psychogeriatric Services LLC (Columbia, 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 Bolatito Owolabi'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 Bolatito Owolabi was last updated on May 18, 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.
# Bolatito A Owolabi · NPI 1356944136
Primary Care physician in Bowie, Maryland. Individual provider, active in the CMS NPPES registry since November 16, 2020.
## Identity
- **NPI:** 1356944136 (Entity type: Individual)
- **Enumerated:** November 16, 2020
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** RN1034864 (District of Columbia)
- **Sole proprietor:** No
## Practice location
- **Address:** 15624 N PLATTE DR, Bowie, MD 20716-1361
- **Phone:** (124) 069-5412
## 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): M Medical Group, Inc. (NPI 1790591956, Annapolis, MD); Psychogeriatric Services LLC (NPI 1588689483, Columbia, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** May 18, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1356944136) · Data from the CMS NPPES public registry.