OLUWADAMILOLA NURUDE ADISA
NPI 1508538356
Student in an Organized Health Care Education/Training Program in Baltimore, MD

Active since September 30, 2021PECOS Enrolled
1800 ORLEANS STREET, BALTIMORE, MD 21264(410) 955-5000 Get Directions Write a Review

NPPES record last updated: May 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Oluwadamilola Nurude Adisa NPPES

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

OLUWADAMILOLA NURUDE ADISA (NPI 1508538356) is an individual student in an organized health care education/training program in Baltimore, Maryland and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Shreveport.

NPPES Registry Identity

NPI1508538356
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameOLUWADAMILOLA NURUDE ADISA
Location Address1800 ORLEANS STREETBaltimore, MD 21264-4228
Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (410) 933-6423
Sole ProprietorNo
Enumeration DateSeptember 30, 2021
Last NPPES UpdateMay 21, 2024
NPPES CertifiedMay 21, 2024
NPI 1508538356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1800 ORLEANS STREET, Baltimore, MD 21264

Secondary Practice Location 1

Location 11501 Kings HwyShreveport, LA 71103-4228 · Phone (318) 626-0434

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Oluwadamilola Nurude Adisa 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.

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.

Pediatrics
1800 ORLEANS STREET
BALTIMORE, MD 21264
Nurse Practitioner (Critical Care Medicine)
1800 ORLEANS STREET
BALTIMORE, MD 21264
Pathology (Blood Banking & Transfusion Medicine)
1800 ORLEANS STREET
BALTIMORE, MD 21264
Student in an Organized Health Care Education/Training Program
1800 ORLEANS STREET
BALTIMORE, MD 21264
Internal Medicine (Cardiovascular Disease)
1800 ORLEANS STREET
BALTIMORE, MD 21264
Anesthesiology
1800 ORLEANS STREET
BALTIMORE, MD 21264
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1800 ORLEANS STREET
BALTIMORE, MD 21264
Pediatrics (Pediatric Cardiology)
1800 ORLEANS STREET
BALTIMORE, MD 21264

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 Oluwadamilola Nurude Adisa's NPI number?

The NPI number for Oluwadamilola Nurude Adisa is 1508538356. It was assigned to this individual provider in the NPPES registry on September 30, 2021.

Where is Oluwadamilola Nurude Adisa located?

Oluwadamilola Nurude Adisa practices at 1800 Orleans Street, Baltimore, MD 21264. The listed phone number is (410) 955-5000.

What is Oluwadamilola Nurude Adisa's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Oluwadamilola Nurude Adisa enrolled in Medicare?

Yes. Oluwadamilola Nurude Adisa is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Oluwadamilola Nurude Adisa was last updated on May 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.