ABIOLA O DADA
NPI 1407458854
Nurse Practitioner - Acute Care in White Marsh, MD

Active since November 11, 2020PECOS Enrolled
5617 CRESCENT RIDGE DR, WHITE MARSH, MD 21162(443) 854-1072 Get Directions Write a Review

NPPES record last updated: November 11, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Abiola O Dada NPPES

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

ABIOLA O DADA (NPI 1407458854) is an individual acute care provider in White Marsh, Maryland, licensed in Maryland (R186827) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407458854
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameABIOLA O DADA
Location Address5617 CRESCENT RIDGE DRWhite Marsh, MD 21162-1148
Mailing Address5617 Crescent Ridge DrWhite Marsh, MD 21162-1148 · (443) 854-1072
Sole ProprietorNo
Enumeration DateNovember 11, 2020
NPPES CertifiedNovember 11, 2020
NPI 1407458854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in MD · R186827
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License R186827 (MD)
5617 CRESCENT RIDGE DR, White Marsh, MD 21162

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Abiola O Dada is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21162 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
2 suppliers19 claims19 services$12.54 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
5617 CRESCENT RIDGE DR
WHITE MARSH, MD 21162

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407458854, enumerated as an "individual" on November 11, 2020.

The provider is located at 5617 CRESCENT RIDGE DR WHITE MARSH, MD 21162 and the phone number is (443) 854-1072.

Nurse Practitioner with taxonomy code 363LA2100X and a focus in Acute Care.