Individual provider Active NPI

Oluwatoyin Temitope Idowu, M.D.

  • Diagnostic Radiology Physician
  • Fairfax, VA
National Provider Identifier
1326224239
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0101265638 Issued in VA
Practice address
2722 Merrilee Dr Ste 230
Fairfax, VA 22031-4400
Phone
(703) 698-4488
NPI assigned
Jan 10, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X 0101265638 VA
Diagnostic Radiology Physician 2085R0202X 22805 MD
Diagnostic Radiology Physician 2085R0202X 0101265638 VA Primary

Addresses

Primary practice location

2722 Merrilee Dr Ste 230
Fairfax, VA 22031-4400

Mailing address

2722 Merrilee Dr Ste 230
Fairfax, VA 22031-4400
Phone (703) 698-4488

Other practice location 1

600 N Wolfe St
Phipps B-100
Baltimore, MD 21287-0005
Phone (410) 502-0012

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, VA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20130720000110 MD Practitioner - Diagnostic Radiology 2466693288 Reassigns benefits to 3 organizations
I20170316000518 DC Practitioner - Diagnostic Radiology 2466693288 Reassigns benefits to 4 organizations
I20181203001881 VA Practitioner - Diagnostic Radiology 2466693288 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Perelman School of Med at the University of Pennsylvania, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ifrc LLCGroup PAC ID 2961829882, 135 clinicians
Fairfax Radiological ConsultantsGroup PAC ID 8628970324, 151 clinicians
Inova Reston MRI Center LLCGroup PAC ID 2961540042, 101 clinicians

Practice addresses (Care Compare)

100 Elden St
Suite 16
Herndon, VA 20170-4841
Phone (703) 698-4488

11335 Pembrooke SQ
Waldorf, MD 20603-4845
Phone (703) 698-4488

1600 N Beauregard St
Suite 200
Alexandria, VA 22311-1732
Phone (703) 698-4444

1800 N Beauregard St
Alexandria, VA 22311-1735
Phone (703) 698-4444

19455 Deerfield Ave
Suite 102
Leesburg, VA 20176-8102
Phone (703) 698-4488

3299 Woodburn Rd
Suite 110
Annandale, VA 22003-7310
Phone (703) 698-4488

3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 776-4001

3801 University Dr
Suite 120
Fairfax, VA 22030-2503
Phone (703) 698-4488

3833 Fairfax Dr
Suite 110
Arlington, VA 22203-1773
Phone (703) 698-4488

44045 Rivderside Pkwy
Leesburg, VA 20176-5101
Phone (703) 858-6470

6211 Centreville Rd
Suite 400
Centreville, VA 20121-2641
Phone (703) 698-4488

7799 Leesburg Pike
Suite 104S
Falls Church, VA 22043-2413
Phone (703) 893-2820

8503 Arlington Blvd
Suite Ll100
Fairfax, VA 22031-4629
Phone (703) 698-4488

8926 Woodyard Rd
Suite 301
Clinton, MD 20735-4232
Phone (703) 698-4488

Hospital & facility affiliations

  • Inova Fairfax Hospital Hospital, Falls Church, VA, CCN 490063
  • Inova Alexandria Hospital Hospital, Alexandria, VA, CCN 490040
  • Inova Fair Oaks Hospital Hospital, Fairfax, VA, CCN 490101
  • Inova Loudoun Hospital Hospital, Leesburg, VA, CCN 490043
  • Inova Mount Vernon Hospital Hospital, Alexandria, VA, CCN 490122

Merit-based Incentive Payment System (MIPS)

Final score
15 of 100Reported as group
Quality
0
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
28.96 of 100Reported as group
Quality
16.43
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
67.5 of 100Reported as group
Quality
58.12
Improvement activities
40
Cost
68.45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22805MDMDDiagnostic Radiology Physician
0101265638VAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fairfax Radiological Consultants Diagnostic Radiology CurrentSince Nov 29, 2018 Accepting new patients
Johns Hopkins University CurrentSince Jan 23, 2017 Accepting new patients
Ifrc, LLC CurrentSince Sep 1, 2020 Accepting new patients
Inova Reston MRI Center LLC Diagnostic Radiology CurrentSince Dec 3, 2018 Accepting new patients
Inova Reston MRI Center LLC CurrentSince Dec 3, 2018 Accepting new patients
Johns Hopkins University Neuroradiology CurrentSince Jul 1, 2013 Accepting new patients
Johns Hopkins University CurrentSince Jul 1, 2013 Accepting new patients
Inova Health Care Services CurrentSince Jan 21, 2019 Accepting new patients
Inova Health Care Services Current Accepting new patients
Johns Hopkins University Current Accepting new patients

Locations

600 N Wolfe St
#B100
Baltimore, MD 21287
Phone (410) 502-0012

601 N Caroline St
Rm 5165
Baltimore, MD 21287
Phone (410) 955-8344

6420 Rockledge Dr
Bethesda, MD 20817
Phone (301) 896-6700

8926 Woodyard Rd
Ste 301
Clinton, MD 20735
Phone (301) 856-3670

5755 Cedar Ln
Columbia, MD 21044
Phone (410) 381-7171

230 W Dares Beach Rd
Ste 100
Prnc Frederck, MD 20678
Phone (301) 855-9754

11335 Pembrooke Sq
#101
Waldorf, MD 20603
Phone (301) 856-6718

2722 Merrilee Dr
Ste 230
Fairfax, VA 22031

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

100 Elden St
Ste 16M
Herndon, VA 20170
Phone (703) 481-9400

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

19455 Deerfield Ave
Ste 102
Leesburg, VA 20176
Phone (703) 858-0001

4 Pidgeon Hill Dr
Sterling, VA 20165
Phone (703) 433-9230

Interoperability endpoints

  • Direct secure messaging: oidowu605376@soc.inova.org

Organizations & group practices 10

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1326224239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2722 MERRILEE DR STE 230",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314400",
            "telephone_number": "703-698-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2722 MERRILEE DR STE 230",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314400",
            "telephone_number": "703-698-4488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 N Wolfe St",
            "address_2": "Phipps B-100",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212870005",
            "country_code": "US",
            "telephone_number": "410-502-0012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IDOWU",
        "first_name": "OLUWATOYIN",
        "middle_name": "TEMITOPE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-10",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "VA",
            "license": "0101265638",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "22805",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101265638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.