Individual provider Active NPI

Ibukunolupo Odunayo Oni, MB, BS, MPH

  • Infectious Disease Physician
  • Baltimore, MD
National Provider Identifier
1144581885
Registry record updated May 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
D0085856 Issued in MD
Practice address
GBMC Main Hospital
6701 North Charles Street, Suite 5100
Baltimore, MD 21204
Phone
(443) 849-2327
NPI assigned
May 30, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X D0085856 MD Primary

Addresses

Primary practice location

GBMC Main Hospital
6701 North Charles Street, Suite 5100
Baltimore, MD 21204

Mailing address

GBMC Main Hospital
6701 North Charles Street, Suite 5100
Baltimore, MD 21204
Phone (443) 849-2327

Other names 1

  • Dr. Ibukunolupo Odunayo Faboya Other name

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
I20180904001436 MD Practitioner - Infectious DiseasePractitioner - Internal Medicine 9234437674 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Greater Baltimore Medical CenterGroup PAC ID 1759276975, 350 clinicians

Practice addresses (Care Compare)

6701 N Charles St
Baltamore, MD 21204-6808
Phone (410) 321-8580

Hospital & facility affiliations

  • Bayada Home Health Care, Inc. Home health agency, Towson, MD, CCN 217101
  • Greater Baltimore Medical Center Hospital, Baltimore, MD, CCN 210044

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0085856MDMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Baltimore Medical Center, Inc. CurrentSince Aug 6, 2018 Accepting new patients
Greater Baltimore Medical Center, Inc Current Accepting new patients
Greater Baltimore Medical Center, Inc. CurrentSince Aug 6, 2018 Accepting new patients
Greater Baltimore Medical Center, Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

6569 N Charles St
Ste 505
Towson, MD 21204
Phone (443) 849-2196

6569 N Charles St
Ste 307
Towson, MD 21204
Phone (443) 849-2767

6701 N Charles St
Ste 5100
Towson, MD 21204
Phone (410) 321-8580

Interoperability endpoints

  • Direct secure messaging: ioni47147@gbmcdirect.org

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 5

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": "1338336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558656000000",
    "number": "1144581885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "GBMC MAIN HOSPITAL",
            "address_2": "6701 NORTH CHARLES STREET, SUITE 5100",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21204",
            "telephone_number": "443-849-2327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GBMC MAIN HOSPITAL",
            "address_2": "6701 NORTH CHARLES STREET, SUITE 5100",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21204",
            "telephone_number": "443-849-2327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONI",
        "first_name": "IBUKUNOLUPO",
        "middle_name": "ODUNAYO",
        "name_prefix": "Dr.",
        "credential": "MB, BS, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-30",
        "last_updated": "2019-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MD",
            "license": "D0085856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IBUKUNOLUPO",
            "last_name": "FABOYA",
            "middle_name": "ODUNAYO",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.