Segun Toyin Dawodu, MD, JD, MBA, LLM, MS

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

MD071276L Issued in PA

Practice address

40 V Twin Dr
Suite 205
Gettysburg, PA 17325-7875

Phone

(717) 339-2790

Fax

(717) 798-3162

NPI assigned

Sep 6, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 10

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Interventional Pain ManagementAlso: Pain Management, Physical Medicine and Rehabilitation, Sports Medicine

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Gettysburg Hospital Hospital, Gettysburg, PA, CCN 390065
• Wellspan York Hospital Hospital, York, PA, CCN 390046

Medicare enrollment (NPD)

Enrolled

Credentials

Juris Doctor, Master of Business Administration, Doctor of Medicine, Master of Science

State licenses

Practice roles

Locations

Networks

• devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
• devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
• OH PPO
• devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037
• devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9

Interoperability endpoints

• Direct secure messaging: sdawodu14116@wellspan.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wellspan Medical Group

  • Gastroenterology Physician
  • York, PA
  • NPI 1669770004
  Medicare reassignment Care Compare group NPD
• The Gettysburg Hospital

  • Emergency Medicine Physician
  • Gettysburg, PA
  • NPI 1366472706
  Medicare reassignment NPD
• Pmrehab Pain and Sports Medicine Associates

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Bowie, MD
  • NPI 1144356353
  NPD (past) Authorized official
• The Gettysburg Hospital

  • Ambulatory Surgical Clinic/Center
  • Gettysburg, PA
  • NPI 1184882011

  Interventional Pain Medicine

  NPD
• Wellspan Medical Group

  • Pediatric Surgery Physician
  • York, PA
  • NPI 1104799428
  NPD
• Wellspan Medical Group

  • Trauma Surgery Physician
  • York, PA
  • NPI 1316333487
  NPD
• Capital Region Orthopaedic Associates, PC

  • Orthopaedic Surgery Physician
  • Albany, NY
  • NPI 1871533216
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The Gettysburg Hospital

  • Ambulatory Surgical Clinic/Center
  • Gettysburg, PA
  • NPI 1184882011

  Hospital

  Care Compare affiliation
• The Gettysburg Hospital

  • General Acute Care Hospital
  • Gettysburg, PA
  • NPI 1265466957
  Care Compare affiliation
• York Hospital

  • General Acute Care Hospital
  • York, PA
  • NPI 1326060492
  Care Compare affiliation
• York Hospital

  • Clinic/Center
  • York, PA
  • NPI 1497814040

  Hospital

  Care Compare affiliation
• York Hospital

  • Clinic/Center
  • York, PA
  • NPI 1609112036

  Hospital

  Care Compare affiliation
• York Hospital

  • Family Medicine Physician
  • York, PA
  • NPI 1881617132

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1003800053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEMORY LN",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022231",
            "telephone_number": "717-851-1405",
            "fax_number": "717-851-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 V TWIN DR",
            "address_2": "SUITE 205",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173257875",
            "telephone_number": "717-339-2790",
            "fax_number": "717-798-3162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1227 Baltimore St",
            "address_purpose": "LOCATION",
            "city": "Hanover",
            "state": "PA",
            "postal_code": "173314406",
            "country_code": "US",
            "telephone_number": "717-646-4204",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "147 Gettys St",
            "address_purpose": "LOCATION",
            "city": "Gettysburg",
            "state": "PA",
            "postal_code": "173252536",
            "country_code": "US",
            "telephone_number": "717-337-4168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAWODU",
        "first_name": "SEGUN",
        "middle_name": "TOYIN",
        "name_prefix": "Dr.",
        "credential": "MD, JD, MBA, LLM, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-06",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "MD071276L",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MD",
            "license": "D56237",
            "primary": false
        },
        {
            "code": "2081P0004X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine",
            "state": "MD",
            "license": "D56237",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "MD",
            "license": "D56237",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "PA",
            "license": "MD071276L",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "PA",
            "license": "MD071276L",
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "VA",
            "license": "0101227545",
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "MD",
            "license": "D56237",
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "PA",
            "license": "MD071276L",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MD",
            "license": "D56237",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "699631100",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "67512780-01",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "102524",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "F216",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102996450",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7767187",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Sue Daugherty
• Deborah Rozenn Dauphinais, M.D.
• Nancy David
• Cara M Davis, PAC
• Sumayyah Davis
• Austin Jacob Daywalt, OTD
• Debra A. Deangelo, DO
• Hallie Deardorff, CRNP
• Whitney Debarge, DO
• Stephanie Ann Defilippo, DDS

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Gettysburg, PA
• Providers in Gettysburg, PA by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.