NPIMap

Individual provider Active NPI

Monsurat Tayo Adeyemo, MD

  • Neonatal-Perinatal Medicine Physician
  • Baltimore, MD
National Provider Identifier
1043664113
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
D0087440 Issued in MD
Practice address
110 S Paca St FL 8
Baltimore, MD 21201-1644
Phone
(410) 328-5812
Fax
(410) 328-1076
NPI assigned
Apr 14, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Neonatal-Perinatal Medicine Physician 2080N0001X D0087440 MD Primary

Addresses

Primary practice location

110 S Paca St FL 8
Baltimore, MD 21201-1644

Mailing address

110 S Paca St FL 8
Baltimore, MD 21201-1644

Other practice location 1

9901 Medical Center Dr
Rockville, MD 20850-3357
Phone (240) 826-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231122001138 MD Practitioner - Pediatric Medicine 5991094757 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0087440MDMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince Jul 1, 2024 Accepting new patients
Tidalhealth Specialty Care, LLC CurrentSince Jul 14, 2025 Accepting new patients
Meritus Medical Center Inc CurrentSince Nov 5, 2024 Accepting new patients
Johns Hopkins University CurrentSince Dec 1, 2023 Accepting new patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince Jul 1, 2024 Accepting new patients
Johns Hopkins University Neonatal-Perinatal Medicine CurrentSince Dec 1, 2023 Accepting new patients
Meritus Medical Center Inc CurrentSince Nov 5, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Adventist Healthcare, Inc. Past Accepting new patients
Children's Hospital Past Accepting new patients
Tidalhealth Peninsula Regional, Inc. Past Accepting new patients

Locations

5755 Cedar Ln
Columbia, MD 21044
Phone (410) 381-7171

400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300

11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600

100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100

7601 Osler Dr
Towson, MD 21204
Phone (410) 337-1150

Interoperability endpoints

  • Direct secure messaging: madeyemo1148751@direct.hopkinsmedicine.org
  • Direct secure messaging: madeyemo640834@direct.umm.edu

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1043664113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S PACA ST FL 8",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S PACA ST FL 8",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011644",
            "telephone_number": "410-328-5812",
            "fax_number": "410-328-1076"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9901 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208503357",
            "country_code": "US",
            "telephone_number": "240-826-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADEYEMO",
        "first_name": "MONSURAT",
        "middle_name": "TAYO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-14",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "MD",
            "license": "D0087440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.