OLUBUKOLA DAVID BOLAJI MD
NPI 1497750277
Internal Medicine in Manassas, VA

Q: What is Olubukola Bolaji's NPI number?

The NPI number for Olubukola Bolaji is 1497750277. It was assigned to this individual provider in the NPPES registry on June 17, 2005.

Q: What is Olubukola Bolaji's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Olubukola Bolaji was last updated on May 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 17, 2005PECOS EnrolledAccepts Medicare Assignment

8700 SUDLEY RD, MANASSAS, VA 20110(703) 396-5292(703) 396-5297 Get Directions Write a Review

NPPES record last updated: May 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 18, 2023, Aug 15, 2022, Dec 9, 2020 (3 updates tracked since 2020).

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About Olubukola David Bolaji Md NPPES

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

OLUBUKOLA DAVID BOLAJI MD (NPI 1497750277) is an individual internal medicine provider in Manassas, Virginia, licensed in Virginia (0101261217) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Novant Prince William Medical Center, and maintains a secondary practice location in Addison.

NPPES Registry Identity

NPI1497750277

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameOLUBUKOLA DAVID BOLAJICredential: MD

Location Address8700 SUDLEY RDManassas, VA 20110-4418

Mailing Address7726 Gunston Plz Unit 1164Lorton, VA 22199-8054 · (817) 773-7014 · Fax (844) 373-1885

Phone(703) 396-5292

Fax(703) 396-5297

Sole ProprietorNo

Medical School CMSOtherGraduated 1984

Enumeration DateJune 17, 2005

Last NPPES UpdateMay 18, 20233 updates tracked since enumeration

NPPES CertifiedApril 14, 2023

✔ NPI 1497750277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in VA · 0101261217✔ Licensed in TX · M3919

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

8700 SUDLEY RD, Manassas, VA 20110

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Secondary Practice Location 1

Location 114131 Midway Rd, Suite 620Addison, TX 75001-3623 · Phone (972) 249-0200 · Fax (972) 249-0206

Other Identifiers 4

Other5461151TX · Aetna

Other8P5794TX · Bcbs

Medicaid180925301TX

Medicaid0284562OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Olubukola David Bolaji Md 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.

PECOS PAC ID7911815741

PECOS Enrollment IDI20170404001993, I20170606003119

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.

Areas of Expertise CMS Part B claims

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

50 services38 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Novant Prince William Medical Center

Acute Care Hospitals · Manassas, VA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490045

Location8700 Sudley RdManassas, VA 20110 · Manassas City County

Emergency services Birthing friendly

Virginia Hospital Center

Acute Care Hospitals · Arlington, VA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490050

Location1701 North George Mason DriveArlington, VA 22205 · Arlington County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20110 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

$129.04 typical visit price

range $56.19 – $170.30

Typical copayment $32.26 (range $14.04 – $42.57)

Most-billed visit code 99204

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

4 suppliers42 claims42 services$14.56 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

4 suppliers41 claims41 services$67.89 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 20

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

SUSAN BRIEN CAMPBELL ANP

Nurse Practitioner