Active NPI
Yewande Ibukunoluwa Komolafe, PA-C
- Physician Assistant
- Washington, DC
National Provider Identifier
1023833571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 660 Pennsylvania Ave SE Ste 101
Washington, DC 20003-4354 - Phone
- (202) 758-2682
- NPI assigned
- Nov 20, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MD | Primary |
Addresses
Primary practice location
660 Pennsylvania Ave SE Ste 101
Washington, DC 20003-4354
Mailing address
576 Old Town Mall
Baltimore, MD 21202-4190
Other practice location 1
576 Old Town Mall
Baltimore, MD 21202-4190
Phone (443) 990-3300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768348800000",
"number": "1023833571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "576 OLD TOWN MALL",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212024190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "660 PENNSYLVANIA AVE SE STE 101",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200034354",
"telephone_number": "202-758-2682"
}
],
"practiceLocations": [
{
"address_1": "576 Old Town Mall",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212024190",
"country_code": "US",
"telephone_number": "443-990-3300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOMOLAFE",
"first_name": "YEWANDE",
"middle_name": "IBUKUNOLUWA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-20",
"last_updated": "2026-01-14",
"certification_date": "2026-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.