Olufunmilola Modupe Ogbonlowo, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101263837 Issued in VA

Practice address

19440 Golf Vista PLZ Ste 120
Lansdowne, VA 20176-8264

Phone

(571) 293-2424

Fax

(833) 913-2348

NPI assigned

Sep 29, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, DC2 enrollments

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 2

Specialty

Family Practice

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Inova Loudoun Hospital Hospital, Leesburg, VA, CCN 490043

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lola.ogbonlowo.1@12538.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/24872/brand/1/csg/1/fhir/r4
• Direct secure messaging: olufunmilola.ogbonlowo.1@24872.direct.athenahealth.com

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.

• Lighthouse Family Medicine and Wellness PLLC

  • Family Medicine Physician
  • Lansdowne, VA
  • NPI 1164003752
  Medicare reassignment NPD Authorized official
• Patient First Richmond Medical Group PLLC

  • Family Medicine Physician
  • Glen Allen, VA
  • NPI 1689603748

  DC

  Medicare reassignment NPD
• Valley Physician Enterprise, Inc

  • Surgery Physician
  • Winchester, VA
  • NPI 1538316203

  Family Medicine

  Medicare reassignment NPD
• Patient First Richmond Medical Group PLLC

  • Urgent Care Clinic/Center
  • Fairfax, VA
  • NPI 1588018881

  Family Medicine

  NPD
• Valley Physician Enterprise, Inc.

  • Obstetrics & Gynecology Physician
  • Winchester, VA
  • NPI 1255222535
  NPD
• Valley Physician Enterprise, Inc.

  • Surgery Physician
  • Winchester, VA
  • NPI 1891202412
  NPD

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

• Inova Health Care Services

  • Psychiatric Hospital Unit
  • Leesburg, VA
  • NPI 1285786228
  Care Compare affiliation
• Inova Health Care Services

  • General Acute Care Hospital
  • Leesburg, VA
  • NPI 1376564302
  Care Compare affiliation

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

{
    "created_epoch": "1411948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1174926679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19440 GOLF VISTA PLZ STE 120",
            "city": "LANSDOWNE",
            "state": "VA",
            "postal_code": "201768264",
            "telephone_number": "571-293-2424",
            "fax_number": "833-913-2348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19440 GOLF VISTA PLZ STE 120",
            "city": "LANSDOWNE",
            "state": "VA",
            "postal_code": "201768264",
            "telephone_number": "571-293-2424",
            "fax_number": "833-913-2348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGBONLOWO",
        "first_name": "OLUFUNMILOLA",
        "middle_name": "MODUPE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-29",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301107153",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101263837",
            "primary": true
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "VA",
            "license": "10421511",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oncology/Hematology of Loudoun and Reston, P.C.
• Rebecca Measell Owens, PHD, CCC-A
• Sobha Rani Paluvoi, M.D.
• Srinagesh Paluvoi, M.D.
• Lindsey Michelle Paniszczyn, MS, RDN, LDN

• Family Medicine Physician in Lansdowne, VA
• Providers in Lansdowne, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; 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.

Verify at the official NPI Registry.