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OLUWABUSUYI OGUNSOLA
NPI 1629794821
Nurse Practitioner - Family in Largo, MD

Active since October 19, 2022PECOS Enrolled
1221 MERCANTILE LN, LARGO, MD 20774(310) 386-6775 Get Directions Write a Review

NPPES record last updated: October 19, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Oluwabusuyi Ogunsola NPPES

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

OLUWABUSUYI OGUNSOLA (NPI 1629794821) is an individual family provider in Largo, Maryland, licensed in Maryland (195073) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1629794821
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameOLUWABUSUYI OGUNSOLA
Location Address1221 MERCANTILE LNLargo, MD 20774-5374
Mailing Address1221 Mercantile LnUpper Marlboro, MD 20774-5374
Phone(310) 386-6775
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 19, 2022
NPPES CertifiedOctober 19, 2022
✔ NPI 1629794821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MD · 195073
1221 MERCANTILE LN, Largo, MD 20774
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Oluwabusuyi Ogunsola is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5193267326
PECOS Enrollment IDI20251215003847
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 20774 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

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.

DR. EARL JOHN D MAURICIO M.D.
Psychiatry & Neurology (Psychiatry)
1221 MERCANTILE LN
LARGO, MD 20774
Prince George's County (301) 386-6800
DR. ENYINNAYA ROSE NWANERI M.D.,M.P.H.
Anesthesiology
1221 MERCANTILE LN
UPPER MARLBORO, MD 20774
Prince George's County (301) 395-2074
DR. LYNN ANETTA THOMAS MD
Internal Medicine
1221 MERCANTILE LN, KAISER PERMANENTE LARGO MEDICAL CENTER
LARGO, MD 20774
Prince George's County (301) 618-5500
DR. VIRGIL LEE GRAHAM MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
1221 MERCANTILE LN, DEPT OF OBGYN
LARGO, MD 20774
Prince George's County (301) 618-5578
SASHA ROCHELLE JARRETT MD
Anesthesiology
1221 MERCANTILE LN
UPPER MARLBORO, MD 20774
Prince George's County (301) 456-4368
FELICIA C ELVIS PA
Physician Assistant
1221 MERCANTILE LN, KAISER PERMANENTE LARGO MEDICAL CENTER
LARGO, MD 20774
Prince George's County (301) 618-5500
MOHAMED A ATALLA M.D.
Urology
1221 MERCANTILE LN, KAISER PERMANENTE DEPARTMENT OF UROLOGY
LARGO, MD 20774
Prince George's County (301) 618-5500
TINA MUSA
Obstetrics & Gynecology
1221 MERCANTILE LN
UPPER MARLBORO, MD 20774
Prince George's County (301) 618-5500

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 Oluwabusuyi Ogunsola's NPI number?

The NPI number for Oluwabusuyi Ogunsola is 1629794821. It was assigned to this individual provider in the NPPES registry on October 19, 2022.

Where is Oluwabusuyi Ogunsola located?

Oluwabusuyi Ogunsola practices at 1221 Mercantile Ln, Largo, MD 20774. The listed phone number is (310) 386-6775.

What is Oluwabusuyi Ogunsola's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Oluwabusuyi Ogunsola enrolled in Medicare?

Yes. Oluwabusuyi Ogunsola is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Oluwabusuyi Ogunsola was last updated on October 19, 2022. 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.