Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Olufemi Ebunolu Balogun, MD

Individual provider Family Medicine Physician · NPI 1194010678

Dr. Olufemi Ebunolu Balogun, MD is an Emergency Medicine in Upper Marlboro, Maryland. Graduated from Howard University College of Medicine in 2011, 15 years ago. Practices with Kaiser Foundation Health Plan of the Mid Atlantic States, Inc, a 1,934-clinician group and accepts Medicare assignment. Licensed in District of Columbia, Maryland and Virginia.

Years since qualifying
15
Trained at
Howard University College of Medicine
Licensed in
DC, MD, VA
In the registry since
2011
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1221 Mercantile Ln
Upper Marlboro, MD 20774-5374
Phone: (301) 618-5500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence D83130 (MD)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD044945 (DC)
Family Medicine Physician Taxonomy 207Q00000X · Licence 0101262023 (VA)

Record details

NPI number1194010678
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 13, 2011
Last updated in NPPESJune 10, 2021
Certification dateJune 10, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolHOWARD UNIVERSITY COLLEGE OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc — 1934 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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