Omotoke Odimayomi, MD, MPH

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

D0100089 Issued in MD

Practice address

1500 Forest Glen Road
Silver Spring, MD 20910-1484

Phone

(301) 754-7000

Fax

(785) 301-8324

NPI assigned

Mar 29, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: oodimayomi1304898@direct.trinity-health.org

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.

• Mep Health, LLC

  • Emergency Medicine Physician
  • Rockville, MD
  • NPI 1164483558

  DC

  Medicare reassignment NPD
• Cep America LLC

  • Emergency Medicine Physician
  • Washington, DC
  • NPI 1073914396
  Medicare reassignment NPD
• Cep America LLC

  • Emergency Medicine Physician
  • Germantown, MD
  • NPI 1568357754
  NPD
• Cep America LLC

  • Emergency Medicine Physician
  • Fort Lauderdale, FL
  • NPI 1700747946
  NPD

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1245818798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 FOREST GLEN RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209101484",
            "telephone_number": "301-754-7000",
            "fax_number": "785-301-8324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 FOREST GLEN ROAD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209101484",
            "telephone_number": "301-754-7000",
            "fax_number": "785-301-8324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODIMAYOMI",
        "first_name": "OMOTOKE",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-29",
        "last_updated": "2024-07-03",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0100089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynisha Ochogu, DPT
• Tobi Odebo
• Folasade Odegbile
• Immaculate Adhiambo Odek, CRNP
• Antony Otieno Odhiambo
• Busola O Odubayo, DPT
• Florence Odubayo, FNP
• Alicia Junee Odum, MD
• Abisola Odunmbaku, M.D.
• Jennifer Lopkin Offer, M.D.

• Pediatrics Physician in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Pediatrics Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.