Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

OLADAPO ODUSANYA
NPI 1902755010
Nurse Practitioner - Psychiatric/Mental Health in Fairmount Heights, MD

Q: What is Oladapo Odusanya's NPI number?

The NPI number for Oladapo Odusanya is 1902755010. It was assigned to this individual provider in the NPPES registry on January 23, 2026.

Q: What is Oladapo Odusanya's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Oladapo Odusanya was last updated on August 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.

Active since January 23, 2026PECOS Enrolled

525 EASTERN AVE STE B3, FAIRMOUNT HEIGHTS, MD 20743(571) 418-4211 Get Directions Write a Review

NPPES record last updated: August 14, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 14, 2026, Jan 23, 2026 (2 updates tracked since 2026).

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About Oladapo Odusanya NPPES

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

OLADAPO ODUSANYA (NPI 1902755010) is an individual psychiatric/mental health provider in Fairmount Heights, Maryland, licensed in Maryland (R238375) and active in the NPI registry since January 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1902755010

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameOLADAPO ODUSANYA

Location Address525 EASTERN AVE STE B3Fairmount Heights, MD 20743-1677

Mailing Address5069 Silver Oak DrRosedale, MD 21237-3394 · (908) 875-3538 · Fax (908) 875-3538

Phone(571) 418-4211

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJanuary 23, 2026

Last NPPES UpdateAugust 14, 20262 updates tracked since enumeration

NPPES CertifiedAugust 14, 2026

✔ NPI 1902755010 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 · R238375

525 EASTERN AVE STE B3, Fairmount Heights, MD 20743

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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)

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

PECOS PAC ID3678040391

PECOS Enrollment IDI20260429003651

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 20743 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 4

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

VITAL MIND

Nurse Practitioner (Psychiatric/Mental Health)

525 EASTERN AVE STE B3
FAIRMOUNT HEIGHTS, MD 20743

Prince George's County (571) 418-4211

VITAL MIND

Clinic/Center (Mental Health (Including Community Mental Health Center))

525 EASTERN AVE STE B3
FAIRMOUNT HEIGHTS, MD 20743

Prince George's County (703) 980-0478

RENAISSANCE MEDICAL GROUP,INC

Counselor (Addiction (Substance Use Disorder))

525 EASTERN AVE STE B3
FAIRMOUNT HEIGHTS, MD 20743

Prince George's County (301) 925-2255

VITAL MIND

Community/Behavioral Health

525 EASTERN AVE STE B3
FAIRMOUNT HEIGHTS, MD 20743

Prince George's County (703) 980-0478

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 Oladapo Odusanya's NPI number?

The NPI number for Oladapo Odusanya is 1902755010. It was assigned to this individual provider in the NPPES registry on January 23, 2026.

Where is Oladapo Odusanya located?

Oladapo Odusanya practices at 525 Eastern Ave Ste B3, Fairmount Heights, MD 20743. The listed phone number is (571) 418-4211.

What is Oladapo Odusanya's specialty?

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

Is Oladapo Odusanya enrolled in Medicare?

Yes. Oladapo Odusanya is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Oladapo Odusanya was last updated on August 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.