OMOLARA OMOLOLA AMOSU
NPI 1912681172
Nurse Practitioner - Family in Fulton, MD
About Omolara Omolola Amosu NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OMOLARA OMOLOLA AMOSU (NPI 1912681172) is an individual family provider in Fulton, Maryland, licensed in Maryland (R193868) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
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
Omolara Omolola Amosu 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.
Medicare Billing Reassignments
4Medicare enrollment records show Omolara Amosu reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fulton, MD 20759
- Reassigned Medicare billing, Maryland enrollment
Greenbelt, MD 20770
- Reassigned Medicare billing, District of Columbia enrollment
- 6 clinicians in this Medicare group
Baltimore, MD 21201
- Reassigned Medicare billing, Maryland enrollment
- 213 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 75 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 20759 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Amosu's NPI number?
The NPI number for Omolara Amosu is 1912681172. It was assigned to this individual provider in the NPPES registry on June 9, 2023.
Where is Omolara Amosu located?
Omolara Amosu practices at 11502 Iager Blvd, Fulton, MD 20759. The listed phone number is (240) 441-9959.
What is Omolara Amosu's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Omolara Amosu enrolled in Medicare?
Yes. Omolara Amosu 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 Omolara Amosu's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Omolara Amosu reassigns Medicare benefits to 4 organizations: Radlan Healthcare Services LLC (Fulton, MD), Daja Health, LLC (Greenbelt, MD), Chase Brexton Health Services, Inc. (Baltimore, MD) and Signify Health Medical Associates, PLLC (Dallas, TX). 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 Omolara Amosu'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 Omolara Amosu was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.
# Omolara Omolola Amosu · NPI 1912681172
Family physician in Fulton, Maryland. Individual provider, active in the CMS NPPES registry since June 9, 2023.
## Identity
- **NPI:** 1912681172 (Entity type: Individual)
- **Enumerated:** June 9, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R193868 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 11502 IAGER BLVD, Fulton, MD 20759-2653
- **Phone:** (240) 441-9959
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Radlan Healthcare Services LLC (NPI 1760342166, Fulton, MD); Daja Health, LLC (NPI 1295605061, Greenbelt, MD); Chase Brexton Health Services, Inc. (NPI 1588606305, Baltimore, MD); Signify Health Medical Associates, PLLC (NPI 1750845863, Dallas, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** March 30, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1912681172) · Data from the CMS NPPES public registry.