Individual provider Active NPI

Aminat O. Oluyemi, MD

  • Gastroenterology Physician
  • Westminster, MD
National Provider Identifier
1023211646
Registry record updated Apr 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
D0070956 Issued in MD
Practice address
295 Stoner Ave
Suite 204
Westminster, MD 21157-5698
Phone
(410) 876-8332
Fax
(410) 848-5009
NPI assigned
Jun 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X D0070956 MD Primary

Addresses

Primary practice location

295 Stoner Ave
Suite 204
Westminster, MD 21157-5698

Mailing address

295 Stoner Ave
Suite 204
Westminster, MD 21157-5698
Phone (410) 876-8332

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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

Enrollment IDStateProvider typePAC IDDetails
I20101216000123 MD Practitioner - GastroenterologyPractitioner - Internal Medicine 0840488961 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifebridge Community Gastroenterology LLCGroup PAC ID 7618108119, 54 clinicians

Practice addresses (Care Compare)

1838 Greene Tree Rd
Suite 400
Pikesville, MD 21208-7103
Phone (410) 602-7782

Hospital & facility affiliations

  • Carroll Hospital Center Hospital, Westminster, MD, CCN 210033
  • Northwest Hospital Center Hospital, Randallstown, MD, CCN 210040
  • University of MD St Joseph Medical Center Hospital, Towson, MD, CCN 210063

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy144
Upper gastrointestinal (GI) endoscopy for acid reflux151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0070956MDMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carroll Health Group, LLC CurrentSince Aug 1, 2014 Accepting new patients
Lifebridge Community Gastroenterology, LLC Gastroenterology CurrentSince Jun 15, 2018 Accepting new patients
Dr Wendy Kloesz, M.D., P.a Current Accepting new patients
Pikesville MD Endoscopy ASC LLC Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1838 Greene Tree Rd
Ste 400
Pikesville, MD 21208
Phone (410) 602-9343

1838 Greene Tree Rd
Ste 180
Pikesville, MD 21208
Phone (410) 358-1800

193 Stoner Ave
Ste 220
Westminster, MD 21157
Phone (410) 871-2204

295 Stoner Ave
Ste 204
Westminster, MD 21157
Phone (410) 876-8332

535 Old Westminster Pike
Ste 101
Westminster, MD 21157
Phone (410) 876-8332

535 Old Westminster Pike
Ste 102
Westminster, MD 21157

535 Old Westminster Pike
Ste 104
Westminster, MD 21157
Phone (410) 453-8275

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1181433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430092800000",
    "number": "1023211646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 STONER AVE",
            "address_2": "SUITE 204",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575698",
            "telephone_number": "410-876-8332",
            "fax_number": "410-848-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 STONER AVE",
            "address_2": "SUITE 204",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575698",
            "telephone_number": "410-876-8332",
            "fax_number": "410-848-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLUYEMI",
        "first_name": "AMINAT",
        "middle_name": "O.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-10",
        "last_updated": "2015-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MD",
            "license": "D0070956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

Verify at the official NPI Registry.