NPIMap

Individual provider Active NPI

Abimbola O Orisamolu, MD

  • Radiation Oncology Physician
  • Harrisburg, PA
National Provider Identifier
1114337227
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
MD467545 Issued in PA
Practice address
4300 Londonderry Rd Lowr Level
Harrisburg, PA 17109-5317
Phone
(717) 724-6740
Fax
(717) 724-6741
NPI assigned
Apr 29, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X MD467545 PA Primary

Addresses

Primary practice location

4300 Londonderry Rd Lowr Level
Harrisburg, PA 17109-5317

Mailing address

4300 Londonderry Rd
Harrisburg, PA 17109-5317

Other identifiers 1

IdentifierTypeStateIssuer
103630493MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aorisamolu107285@phsdirect.pinnaclehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20190618000051 PA Practitioner - Radiation Oncology 7416280854 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Perelman School of Med at the University of Pennsylvania, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians

Practice addresses (Care Compare)

25 Sprint Dr
Carlisle, PA 17015-7696
Phone (717) 960-3750

4300 Londonderry Rd MSP Level
Harrisburg, PA 17109-5397
Phone (717) 724-6740

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.61 of 100Reported as group
Quality
83.98
Promoting interoperability
100
Improvement activities
40
Cost
78.06

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD467545PAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Regional Physicians CurrentSince Jul 1, 2019 Accepting new patients
Pinnacle Health Medical Services CurrentSince Jul 1, 2019 Accepting new patients
University of Pittsburgh Cancer Institute Cancer Services Radiation Oncology CurrentSince Jul 1, 2025 Accepting new patients
Pinnacle Health Medical Services CurrentSince Jul 1, 2019 Accepting new patients
Pinnacle Health Medical Services CurrentSince Jul 1, 2019 Accepting new patients
Pinnacle Health Medical Services Current Accepting new patients
University of Pittsburgh Cancer Institute Cancer Services CurrentSince Jul 1, 2025 Accepting new patients
Pinnacle Health Medical Services Past Accepting new patients

Locations

620 Howard Ave
Altoona, PA 16601
Phone (814) 889-2011

210 Forge Rd
Boiling Springs, PA 17007
Phone (717) 249-8300

366 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 243-1900

25 Sprint Dr
Carlisle, PA 17015
Phone (717) 737-5767

22681 Route 68
Clarion, PA 16214
Phone (814) 227-1221

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

4300 Londonderry Rd
Lower Paxton, PA 17109
Phone (717) 597-7044

2035 Technology Pkwy
Ste 100
Mechanicsburg, PA 17050
Phone (717) 724-6740

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

1703 Innovation Dr
Ste 100
York, PA 17408
Phone (717) 724-6740

Interoperability endpoints

  • Direct secure messaging: aorisamolu19199@upmc.direct-ci.com

Organizations & group practices 8

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1114337227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 LONDONDERRY RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171095317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 LONDONDERRY RD LOWR LEVEL",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171095317",
            "telephone_number": "717-724-6740",
            "fax_number": "717-724-6741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORISAMOLU",
        "first_name": "ABIMBOLA",
        "middle_name": "O",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-29",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "PA",
            "license": "MD467545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103630493",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aorisamolu107285@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "4300 Londonderry Rd Lowr Level",
            "city": "Harrisburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "171095317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.