Individual provider Active NPI

Olatokunbo Olufunmilayo Obayomi, MD

  • Internal Medicine Physician
  • Salisbury, MD
National Provider Identifier
1194772921
Registry record updated Mar 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0043261 Issued in MD
Practice address
100 E Carroll St
Salisbury, MD 21801
Phone
(007) 749-5191
Fax
(410) 630-7685
NPI assigned
May 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0043261 MD Primary

Addresses

Primary practice location

100 E Carroll St
Salisbury, MD 21801

Mailing address

100 E Carroll St
Salisbury, MD 21801-5422
Phone (800) 749-5191

Other names 1

  • Olatokunbo O Baruwa Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, VA, NC, FL5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20040520001064 MD Practitioner - Internal Medicine 5991796724 Reassigns benefits to 2 organizations
I20050630000779 DC Practitioner - Internal Medicine 5991796724 Reassigns benefits to 2 organizations
I20070123000564 VA Practitioner - Internal Medicine 5991796724 Reassigns benefits to 1 organization
I20120322000007 NC Practitioner - Internal MedicinePractitioner - Hospitalist 5991796724 Reassigns benefits to 2 organizations
I20130213000409 FL Practitioner - Internal Medicine 5991796724 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tidalhealth Peninsula Regional, Inc. Internal Medicine CurrentSince Sep 1, 2018 Accepting new patients
Hospitalist Medicine Physicians of Maryland PC Internal Medicine CurrentSince May 23, 2021 Accepting new patients
Hospitalist Medicine Physicians of North Carolina - Rocky Mount Internal Medicine CurrentSince Aug 22, 2018 Accepting new patients
Tidalhealth Specialty Care, LLC CurrentSince Sep 1, 2020 Accepting new patients
Cogent Healthcare of Jacksonville, LLC Internal Medicine CurrentSince Jul 1, 2015 Accepting new patients
Hospitalist Medicine Physicians of Maryland PC Internal Medicine CurrentSince May 23, 2021 Accepting new patients
Cogent Healthcare of North Carolina, PC Internal Medicine CurrentSince Jun 5, 2017 Accepting new patients
Hospitalist Medicine Physicians of North Carolina PLLC Internal Medicine CurrentSince Nov 1, 2015 Accepting new patients
Adfinitas Health at Umcap, LLC CurrentSince Jul 1, 2022 Accepting new patients
Mary Washington Healthcare Providers LLC CurrentSince Jul 2, 2017 Accepting new patients
Tidalhealth Peninsula Regional, Inc. CurrentSince Sep 1, 2018 Accepting new patients
Cogent Healthcare of Jacksonville, LLC Internal Medicine CurrentSince Jul 1, 2015 Accepting new patients
Atlantic General Hospital Corporation Internal Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Primedoc of Norfolk PC Internal Medicine Past Accepting new patients
Inpatient Specialists PA Internal Medicine Past Accepting new patients
Abc Cardiology Consultants, Herman Gist MD, P.C. Past Accepting new patients
Apogee Medical Group Virginia, PC Internal Medicine Past Accepting new patients
Atlantic Immedicare LLC Past Accepting new patients

Locations

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005

9733 Healthway Dr
Berlin, MD 21811
Phone (410) 641-1100

400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300

3001 Hospital Dr
Hyattsville, MD 20785
Phone (301) 618-2000

9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000

100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100

106 Milford St
Ste 201
Salisbury, MD 21804
Phone (410) 543-1616

145 E Carroll St
Salisbury, MD 21801
Phone (410) 546-6400

901 Harry S Truman Dr N
Uppr Marlboro, MD 20774
Phone (240) 677-0021

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

1144 N Road St
Elizabeth Cty, NC 27909
Phone (252) 384-4610

317 Western Blvd
Jacksonville, NC 28546
Phone (910) 577-2240

2460 Curtis Ellis Dr
Rocky Mount, NC 27804
Phone (252) 443-8199

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

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

Organizations & group practices 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583884800000",
    "number": "1194772921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E CARROLL ST",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015422",
            "telephone_number": "800-749-5191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E CARROLL ST",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "21801",
            "telephone_number": "007-749-5191",
            "fax_number": "410-630-7685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBAYOMI",
        "first_name": "OLATOKUNBO",
        "middle_name": "OLUFUNMILAYO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0043261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLATOKUNBO",
            "last_name": "BARUWA",
            "middle_name": "O",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.