OMOLARA KOMOLAFE
NPI 1861117293
Nurse Practitioner - Psychiatric/Mental Health in Clinton, MD

Active since October 07, 2022PECOS Enrolled
7503 SURRATTS RD, CLINTON, MD 20735(301) 877-4450 Get Directions Write a Review

NPPES record last updated: October 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Omolara Komolafe NPPES

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

OMOLARA KOMOLAFE (NPI 1861117293) is an individual psychiatric/mental health provider in Clinton, Maryland, licensed in Maryland (R210323) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1861117293
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameOMOLARA KOMOLAFE
Location Address7503 SURRATTS RDClinton, MD 20735-3358
Mailing Address10743 Castleton WayUpr Marlboro, MD 20774-1339 · (301) 979-8060
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 7, 2022
NPPES CertifiedSeptember 27, 2022
NPI 1861117293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in MD · R210323
7503 SURRATTS RD, Clinton, MD 20735

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

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

PECOS PAC ID2466957642
PECOS Enrollment IDI20250926003595
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 20735 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.

Pediatrics (Neonatal-Perinatal Medicine)
7503 SURRATTS RD
CLINTON, MD 20735
Speech-Language Pathologist
7503 SURRATTS RD
CLINTON, MD 20735
Pediatrics
7503 SURRATTS RD
CLINTON, MD 20735
Obstetrics & Gynecology
7503 SURRATTS RD
CLINTON, MD 20735
Physician Assistant
7503 SURRATTS RD, EMERGENCY DEPT, MEDSTAR SOUTHERN MARYLAND HOSPITAL
CLINTON, MD 20735
Nurse Anesthetist, Certified Registered
7503 SURRATTS RD
CLINTON, MD 20735
Nurse Practitioner (Critical Care Medicine)
7503 SURRATTS RD
CLINTON, MD 20735
Hospitalist
7503 SURRATTS RD
CLINTON, MD 20735

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 Omolara Komolafe's NPI number?

The NPI number for Omolara Komolafe is 1861117293. It was assigned to this individual provider in the NPPES registry on October 7, 2022.

Where is Omolara Komolafe located?

Omolara Komolafe practices at 7503 Surratts Rd, Clinton, MD 20735. The listed phone number is (301) 877-4450.

What is Omolara Komolafe's specialty?

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

Is Omolara Komolafe enrolled in Medicare?

Yes. Omolara Komolafe is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Omolara Komolafe was last updated on October 7, 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.