Active NPI
Olakunle Phillip Olaniyan, MD
- Internal Medicine Physician
- Washington, DC
National Provider Identifier
1184742249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD32814
- Practice address
- 2041 Georgia Ave NW
Div of Geriatrics, 5TH Floor
Washington, DC 20060 - Phone
- (202) 865-3397
- NPI assigned
- Mar 27, 2007
- 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 | MD32814 | DC | Primary |
Addresses
Primary practice location
2041 Georgia Ave NW
Div of Geriatrics, 5TH Floor
Washington, DC 20060
Mailing address
6800 Wolf Creek CT
Clarksville, MD 21029-1721
Phone (419) 953-0003
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD32814 | DC | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184742249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6800 WOLF CREEK CT",
"city": "CLARKSVILLE",
"state": "MD",
"postal_code": "210291721",
"telephone_number": "419-953-0003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2041 GEORGIA AVE NW",
"address_2": "DIV OF GERIATRICS, 5TH FLOOR",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20060",
"telephone_number": "202-865-3397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLANIYAN",
"first_name": "OLAKUNLE",
"middle_name": "PHILLIP",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "DC",
"license": "MD32814",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.