NPIMap

Individual provider Active NPI

Olusola Osundeko, M.D., FACE, FACP

  • Endocrinology, Diabetes & Metabolism Physician
  • Camp Hill, PA
National Provider Identifier
1164411237
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
MD069799L Issued in PA
Practice address
890 Poplar Church Rd
503
Camp Hill, PA 17011-2250
Phone
(717) 972-7120
Fax
(717) 972-7124
NPI assigned
Oct 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X MD069799L PA Primary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 0101288014 VA

Addresses

Primary practice location

890 Poplar Church Rd
503
Camp Hill, PA 17011-2250

Mailing address

100 N Academy Ave
Danville, PA 17822-4093
Phone (570) 271-6144

Other practice location 1

1101 Sam Perry Blvd Ste 305
Fredericksburg, VA 22401-4465
Phone (540) 374-3290

Other identifiers 1

IdentifierTypeStateIssuer
0018444150001MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address oosundeko122081@direct.geisinger.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, VA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050322000430 PA Practitioner - Endocrinology 5496700551 Reassigns benefits to 1 organization
I20260120001612 VA Practitioner - Endocrinology 5496700551 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1101 Sam Perry Blvd
Suite 305
Fredericksburg, VA 22401-4465
Phone (540) 374-3290

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD069799LPAMDEndocrinology, Diabetes & Metabolism Physician
0101288014VAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Penn State Health Medical Group, LLC CurrentSince Oct 1, 2022 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Jan 16, 2026 Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Oct 1, 2022 Accepting new patients
Geisinger Clinic CurrentSince Apr 8, 2019 Accepting new patients
Geisinger Clinic Current Accepting new patients
Geisinger Clinic CurrentSince Apr 8, 2019 Accepting new patients
Mary Washington Healthcare Physicians Endocrinology, Diabetes & Metabolism CurrentSince Jan 16, 2026 Accepting new patients
Penn State Health Medical Group, LLC Current Accepting new patients

Locations

503 N 21st St
Camp Hill, PA 17011
Phone (717) 763-2100

890 Poplar Church Rd
Ste 108
Camp Hill, PA 17011
Phone (717) 724-3628

890 Poplar Church Rd
Ste 503
Camp Hill, PA 17011
Phone (717) 972-4215

3 Jennifer Ct
Ste B
Carlisle, PA 17015
Phone (717) 245-2226

100 N Academy Ave
Danville, PA 17822

1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141

1101 Sam Perry Blvd
Ste 305
Fredericksburg, VA 22401
Phone (540) 374-3290

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

Interoperability endpoints

  • Direct secure messaging: oosundeko122081@direct.geisinger.edu

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": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1164411237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224093",
            "telephone_number": "570-271-6144",
            "fax_number": "570-271-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 POPLAR CHURCH RD",
            "address_2": "503",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170112250",
            "telephone_number": "717-972-7120",
            "fax_number": "717-972-7124"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 Sam Perry Blvd Ste 305",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224014465",
            "country_code": "US",
            "telephone_number": "540-374-3290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSUNDEKO",
        "first_name": "OLUSOLA",
        "name_prefix": "Dr.",
        "credential": "M.D., FACE, FACP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PA",
            "license": "MD069799L",
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "VA",
            "license": "0101288014",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018444150001",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "oosundeko122081@direct.geisinger.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "890 Poplar Church Rd",
            "address_2": "503",
            "city": "Camp Hill",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170112250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Camp Hill, PA

Sources for this page

Verify at the official NPI Registry.