Motunrayo Dipeolu, CRNP-FAMILY

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R196260 Issued in MD

Practice address

3120 Erdman Ave
Baltimore, MD 21213-1720

Phone

(410) 558-4800

NPI assigned

Jun 12, 2018

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 MD, DC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Group practices

Varahe Health Services LLCGroup PAC ID 6002347077, 11 clinicians

Clinical Associates P aGroup PAC ID 1254631005, 44 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: motunrayo.dipeolu.p2@direct.clinicalassociates.nextgenshare.com
• Direct secure messaging: motunrayo.dipeolu.p1@direct.bmsi.nextgenshare.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.

• Clinical Associates P a

  • Multi-Specialty Clinic/Center
  • Towson, MD
  • NPI 1871973628

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Joyforever Family Practice

  • Primary Care Clinic/Center
  • Towson, MD
  • NPI 1780399329
  Medicare reassignment NPD Authorized official
• Varahe Health Services LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Rockville, MD
  • NPI 1811727753

  DC

  Medicare reassignment Care Compare group NPD
• Familychoice Clinic LLC

  • Primary Care Clinic/Center
  • Baltimore, MD
  • NPI 1528572153
  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  MD

  Medicare reassignment NPD
• Baltimore Medical System, Inc.

  • Federally Qualified Health Center (FQHC)
  • Baltimore, MD
  • NPI 1164138152
  Medicare reassignment
• Clinical Associates PA

  • Foot & Ankle Surgery Podiatrist
  • Pikesville, MD
  • NPI 1568264281
  NPD
• Familychoice Clinic LLC

  • Community/Behavioral Health Agency
  • Baltimore, MD
  • NPI 1023698362
  NPD

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1265925580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 GWYNN LAKE DR",
            "city": "GWYNN OAK",
            "state": "MD",
            "postal_code": "212076014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 ERDMAN AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212131720",
            "telephone_number": "410-558-4800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 Bosley Ave",
            "address_purpose": "LOCATION",
            "city": "Towson",
            "state": "MD",
            "postal_code": "212044011",
            "country_code": "US",
            "telephone_number": "443-854-3190",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1825 Woodlawn Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Gwynn Oak",
            "state": "MD",
            "postal_code": "212074045",
            "country_code": "US",
            "telephone_number": "443-854-3190",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9710 Patuxent Woods Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "21046",
            "country_code": "US",
            "telephone_number": "144-389-9952",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIPEOLU",
        "first_name": "MOTUNRAYO",
        "credential": "CRNP-FAMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-12",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "R196260",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R196260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eugene Cuevas Diokno, MD
• Chimene Kiswey Diomi, CRNP-PMH
• Karen Dionesotes, MD, MPH
• Jeffery Alexander Diorio, PT, DPT
• Maria Veronica Dioverti Prono, M.D.
• Pamela Dipesa, M.S.W.
• Alexa Maria Dipeso, CRNP
• Emma Diphilippo
• Michelle Lori Dipietro, MSW
• Sarah Dipietro, PA-C

• Family Nurse Practitioner in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; 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.