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DR. BOLAJI OLUGBOJA
NPI 1689005043
Nurse Practitioner - Psychiatric/Mental Health in Randallstown, MD

Active since December 10, 2013PECOS Enrolled
8515 LIBERTY RD STE B, RANDALLSTOWN, MD 21133(410) 301-6767(410) 496-3121 Get Directions Write a Review

NPPES record last updated: December 22, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 22, 2021, Feb 14, 2020 (2 updates tracked since 2020).

About Dr. Bolaji Olugboja NPPES

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

DR. BOLAJI OLUGBOJA (NPI 1689005043) is an individual psychiatric/mental health provider in Randallstown, Maryland, licensed in Maryland (R178347) and active in the NPI registry since December 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689005043
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDR. BOLAJI OLUGBOJA
Location Address8515 LIBERTY RD STE BRandallstown, MD 21133-4832
Mailing Address8515 Liberty Rd Ste BRandallstown, MD 21133-4832 · (410) 301-6767 · Fax (410) 496-3121
Phone(410) 301-6767
Fax(410) 496-3121
Sole ProprietorNo
Enumeration DateDecember 10, 2013
Last NPPES UpdateDecember 22, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2021
✔ NPI 1689005043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MD · R178347
Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X · License R178347 (MD)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License R178347 (MD)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License R210237 (MD)
8515 LIBERTY RD STE B, Randallstown, MD 21133
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Bolaji Olugboja 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Bolaji Olugboja reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

1st Medical Of Annapolis, Inc.
31 mi
Family Medicine
20 MAYO RD STE 201
Edgewater, MD 21037
  • Reassigned Medicare billing, Maryland enrollment
  • 10 clinicians in this Medicare group
NPI 1922282425 (410) 956-6800
1st Medical Pain Management Specialists
31 mi
Clinic/Center
20 MAYO RD STE 201
Edgewater, MD 21037
  • Reassigned Medicare billing, Maryland enrollment
  • 7 clinicians in this Medicare group
NPI 1902348659 (410) 956-6800
Grow Healthcare Group PA
957 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, District of Columbia enrollment
  • 1,424 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
104 services37 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
61 services34 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
54 services22 patients
Psychotherapy with evaluation and management visit, 45 minutes 90836
Psychotherapy with evaluation and management is a 45-minute session where a healthcare provider discusses your mental and emotional health. They assess your current state, manage any issues, and help you develop coping strategies. This service aims to improve your overall well-being.
27 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21133 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.

Other Providers at the Same Location NPPES

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

LIBERTY FAMILY CARE LLC
Nurse Practitioner (Psychiatric/Mental Health)
8515 LIBERTY RD STE B
RANDALLSTOWN, MD 21133
Baltimore County (410) 301-6767

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 Bolaji Olugboja's NPI number?

The NPI number for Bolaji Olugboja is 1689005043. It was assigned to this individual provider in the NPPES registry on December 10, 2013.

Where is Bolaji Olugboja located?

Bolaji Olugboja practices at 8515 Liberty Rd Ste B, Randallstown, MD 21133. The listed phone number is (410) 301-6767.

What is Bolaji Olugboja's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Bolaji Olugboja enrolled in Medicare?

Yes. Bolaji Olugboja is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Bolaji Olugboja's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bolaji Olugboja reassigns Medicare benefits to 3 organizations: 1st Medical Of Annapolis, Inc. (Edgewater, MD), 1st Medical Pain Management Specialists (Edgewater, MD) and Grow Healthcare Group PA (Miami, FL). 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 Bolaji Olugboja'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 Bolaji Olugboja was last updated on December 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.