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

Idowu Awolusi

Individual provider Family Nurse Practitioner · NPI 1669036836

Idowu Awolusi is a Nurse Practitioner in Baltimore, Maryland. Qualified in 2019, 7 years ago. Practices with Maryland Medical First PA, a 28-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
7
Licensed in
MD
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

2200 Kernan Dr
Baltimore, MD 21207-6665
Phone: (443) 977-0313
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R168616 (MD)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence F04190184 (MD)

Record details

NPI number1669036836
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 23, 2019
Last updated in NPPESMarch 14, 2023
Certification dateMarch 14, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Maryland Medical First Pa — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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