ADEOLA ADEBUSOYE
NPI 1609263268
Nurse Anesthetist, Certified Registered in Laurel, MD

Active since April 22, 2015Accepts Medicare Assignment
9419 3RD ST N, LAUREL, MD 20723(240) 601-8865 Get Directions Write a Review

NPPES record last updated: April 25, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 25, 2024, Jan 20, 2016 (2 updates tracked since 2016).

About Adeola Adebusoye NPPES

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

ADEOLA ADEBUSOYE (NPI 1609263268) is an individual nurse anesthetist, certified registered in Laurel, Maryland, licensed in Maryland (R175407) and active in the NPI registry since April 2015. She is a graduate of Other (2008).

NPPES Registry Identity

NPI1609263268
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameADEOLA ADEBUSOYE
Location Address9419 3RD ST NLaurel, MD 20723-1803
Mailing Address9419 3rd St NLaurel, MD 20723-1803
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateApril 22, 2015
Last NPPES UpdateApril 25, 20242 updates tracked since enumeration
NPPES CertifiedApril 25, 2024
✔ NPI 1609263268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in MD · R175407
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
9419 3RD ST N, Laurel, MD 20723

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

Adeola Adebusoye 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 ID5193020212
PECOS Enrollment IDI20160706000391

Medicare Billing Reassignments

4

Medicare enrollment records show Adeola Adebusoye reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nurse Anesthetist, Certified Registered
7350 VAN DUSEN RD, SUITE 230
Laurel, MD 20707
  • Reassigned Medicare billing, District of Columbia enrollment
  • Medicare enrollment name: Corridor Anesthesia, LLC
  • 39 clinicians in this Medicare group
Anesthesiology
9841 BROKEN LAND PKWY STE 310
Columbia, MD 21046
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • 717 clinicians in this Medicare group
Gastroenterology
700 GEIPE ROAD STE 230
Baltimore, MD 21228
  • Reassigned Medicare billing, Maryland enrollment
  • 96 clinicians in this Medicare group
Physical Therapy
10410 NORTH KENSINGTON PARKWAY
Kensington, MD 20895
  • Reassigned Medicare billing, District of Columbia enrollment
  • Also billed through NPI 1366781700 (District of Columbia)
  • 2,492 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 20723 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

Home Health
9419 3RD ST N
LAUREL, MD 20723
Home Health
9419 3RD ST N
LAUREL, MD 20723
Nurse Practitioner (Psychiatric/Mental Health)
9419 3RD ST N
LAUREL, MD 20723

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 Adeola Adebusoye's NPI number?

The NPI number for Adeola Adebusoye is 1609263268. It was assigned to this individual provider in the NPPES registry on April 22, 2015.

Where is Adeola Adebusoye located?

Adeola Adebusoye practices at 9419 3rd St N, Laurel, MD 20723. The listed phone number is (240) 601-8865.

What is Adeola Adebusoye's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Adeola Adebusoye enrolled in Medicare?

Yes. Adeola Adebusoye 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 Adeola Adebusoye's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adeola Adebusoye reassigns Medicare benefits to 4 organizations: Corridor Anesthesia, L.L.C. (Laurel, MD), First Colonies Anesthesia Associates, LLC (Columbia, MD), Digestive Disease Associates, LLC (Baltimore, MD) and Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Kensington, 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 Adeola Adebusoye'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 Adeola Adebusoye was last updated on April 25, 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.