Active NPI
Okeowo D Ibitoye, MD
- Internal Medicine Physician
- Annapolis, MD
National Provider Identifier
1154322352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D0051437
- Practice address
- 2001 Medical Pkwy
Annapolis, MD 21401-3280 - Phone
- (443) 481-1000
- NPI assigned
- Aug 10, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D0051437 | MD | Primary |
Addresses
Primary practice location
2001 Medical Pkwy
Annapolis, MD 21401-3280
Mailing address
PO Box 64916
Baltimore, MD 21264-4916
Phone (443) 481-6573
Other identifiers 19
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60389103 | Other | BCBS-MD | |
| 689LD128 | Other | MEDICARE PIN | |
| 723540200 | Other | AMERIGROUP - AMERICAID | |
| 1154322352 | Other | NPI NUMBER | |
| 689LD128 | Other | WELLCARE | |
| G71393 | Other | UPIN | |
| 5861765 | Other | AETNA / US HEALTHCARE | |
| 0481822 | Other | MAMSI | |
| 723540200 | Medicaid | MD | |
| 0001 | Other | BCBS-DC | |
| 0039732900 | Other | FEDERAL BLACK LUNG BENEFITS | |
| 21699 | Other | JHHC | |
| 521169362 | Other | KAISER PERMANENTE | |
| AH01 | Other | ENVOY SITE ID | |
| 110178760 | Other | RAILROAD MEDICARE-PALMETTO | |
| 521169362 | Other | MULTIPLAN | |
| 2452142 | Other | AETNA/US HEALTHCARE HMO | |
| D51437 | Other | MEDICAL LICENSE | |
| 521169362 | Other | AMERICHOICE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
12200 Annapolis Rd
Glenn Dale, MD 20769-9182
Phone (240) 245-4414
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairwood Internal Medicine | Internal Medicine | Current | Accepting new patients |
| Anne Arundel Medical Center Inc | Past | Accepting new patients | |
| Maryland Cardiology Associates, LLC | Past | Accepting new patients | |
| Anne Arundel Medical Center Inc | Past | Accepting new patients | |
| Anne Arundel Medical Center Inc | Past | Accepting new patients |
Locations
12200 Annapolis Rd
Ste 232
Glenn Dale, MD 20769
Phone (240) 245-4414
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.
-
- General Acute Care Hospital
- Annapolis, MD
- NPI 1285601369
-
- General Acute Care Hospital
- Annapolis, MD
- NPI 1528036290
-
- General Acute Care Hospital
- Annapolis, MD
- NPI 1679541460
-
- Specialist
- Greenbelt, MD
- NPI 1982752747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213574400000",
"number": "1154322352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 64916",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212644916",
"telephone_number": "443-481-6573",
"fax_number": "443-481-6515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 MEDICAL PKWY",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214013280",
"telephone_number": "443-481-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IBITOYE",
"first_name": "OKEOWO",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-10",
"last_updated": "2008-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D0051437",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS-MD",
"identifier": "60389103",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PIN",
"identifier": "689LD128",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP - AMERICAID",
"identifier": "723540200",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI NUMBER",
"identifier": "1154322352",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "689LD128",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN",
"identifier": "G71393",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA / US HEALTHCARE",
"identifier": "5861765",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "0481822",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "723540200",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS-DC",
"identifier": "0001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL BLACK LUNG BENEFITS",
"identifier": "0039732900",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JHHC",
"identifier": "21699",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER PERMANENTE",
"identifier": "521169362",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ENVOY SITE ID",
"identifier": "AH01",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE-PALMETTO",
"identifier": "110178760",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN",
"identifier": "521169362",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA/US HEALTHCARE HMO",
"identifier": "2452142",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "D51437",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "521169362",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.