Active NPI
Opeyemi Ayotunde Ibidapo, MD
- Student in an Organized Health Care Education/Training Program
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 550 First Avenue
NYU Langone Medical Center
New York, NY 10016-6402 - Phone
- (212) 263-5506
- Fax
- (212) 263-5506
- NPI assigned
- Aug 10, 2009
- Last updated
- Jun 20, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | Primary | |
| Internal Medicine Physician | 207R00000X | P24246 | MD |
Addresses
Primary practice location
550 First Avenue
NYU Langone Medical Center
New York, NY 10016-6402
Mailing address
550 First Avenue
NYU Langone Medical Center
New York, NY 10016-6402
Phone (212) 263-5506
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Virginia School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
104 Plumtree Rd
Bel Air, MD 21015-6095
116 Defense Hwy
Suite Ll100
Annapolis, MD 21401-7626
Phone (888) 972-9700
11810 W Market PL
Fulton, MD 20759-2703
Phone (888) 972-9700
1209 York Rd
Suite 100
Lutherville, MD 21093-6208
Phone (888) 972-9700
122 Defense Hwy
Suite 102
Annapolis, MD 21401-7044
Phone (888) 972-9700
124 Sister Pierre Dr
Towson, MD 21204-7507
Phone (888) 972-9700
1430 Progress Way
Suite 108
Eldersburg, MD 21784-6484
Phone (888) 972-9700
1600 Crain Hwy S
Suite 101
Glen Burnie, MD 21061-6440
Phone (888) 972-9700
1700 Reisterstown Rd
Baltimore, MD 21208-2935
200 Hospital Dr
Suite Ll20And112
Glen Burnie, MD 21061-5884
Phone (888) 972-9700
201 Plumtree Rd
Suite 101
Bel Air, MD 21015-6055
Phone (888) 972-9700
203 Hospital Dr
Suite 100
Glen Burnie, MD 21061-6904
Phone (888) 972-9700
2080 York Rd
Suite 160
Timonium, MD 21093-4249
Phone (888) 972-9700
21 Crossroads Dr
Suite 120
Owings Mills, MD 21117-5497
Phone (888) 972-9700
301 Hospital Dr
Glen Burnie, MD 21061-5803
Phone (888) 972-9700
4211 Blakely Ave
Baltimore, MD 21236-2456
4801 Dorsey Hall Dr
Ellicott City, MD 21042-7703
500 Upper Chesapeake Dr
Bel Air, MD 21014-4324
Phone (888) 972-9700
5500 Knoll N Dr
Suite 100
Columbia, MD 21045-2360
Phone (888) 972-9700
650 McHenry Rd
Suite 1400
Aberdeen, MD 21001-2607
Phone (443) 718-8709
6565 N Charles St
Suite 100
Baltimore, MD 21204-6807
Phone (888) 972-9700
6715 N Charles St
Suite 250
Towson, MD 21204-6822
Phone (888) 972-9700
7501 Osler Dr
Towson, MD 21204-7743
Phone (888) 972-9700
7801 Elvaton CT
Glen Burnie, MD 21061-6763
Phone (888) 972-9700
8601 Veterans Hwy
Suite 100
Millersville, MD 21108-1571
Phone (888) 972-9700
Hospital & facility affiliations
- Umd Upper Chesapeake Medical Center
- University of MD Baltimore Washington Medical Center
- University of MD St Joseph Medical Center
- Greater Baltimore Medical Center
- University of Maryland Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.33 of 100
- Quality
- 63.33
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.44
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P24246 | MD | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Maryland Diagnostic Radiology, LLC | Current | Accepting new patients | |
| Advanced Radiology P a | Current | Accepting new patients | |
| Advanced Radiology P a | Current | Accepting new patients |
Locations
26999 Network Pl
Chicago, IL 60673
500 Upper Chesapeake Dr
Bel Air, MD 21014
Phone (443) 643-1000
4801 Dorsey Hall Dr
Ste 101
Ellicott City, MD 21042
Phone (443) 436-1600
7253 Ambassador Rd
Windsor Mill, MD 21244
Phone (410) 281-9191
Interoperability endpoints
- oibidapo651670@direct.umm.edu
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Diagnostic Radiology Physician
- Owings Mills, MD
- NPI 1932167178
-
- Diagnostic Radiology Physician
- Columbia, MD
- NPI 1922963776
-
- Diagnostic Radiology Physician
- La Plata, MD
- NPI 1467996959
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Glen Burnie, MD
- NPI 1124016696
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1255372397
-
dba University of Maryland Medical Center
- General Acute Care Hospital
- Baltimore, MD
- NPI 1174660120
-
dba University of Maryland St. Joseph Medical Center
- General Acute Care Hospital
- Towson, MD
- NPI 1124374079
-
dba UM Upper Chesapeake Medical Center at Aberdeen
- General Acute Care Hospital
- Bel Air, MD
- NPI 1598761355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308528000000",
"number": "1336371384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 FIRST AVENUE",
"address_2": "NYU LANGONE MEDICAL CENTER",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100166402",
"telephone_number": "212-263-5506",
"fax_number": "212-263-5506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 FIRST AVENUE",
"address_2": "NYU LANGONE MEDICAL CENTER",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100166402",
"telephone_number": "212-263-5506",
"fax_number": "212-263-5506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IBIDAPO",
"first_name": "OPEYEMI",
"middle_name": "AYOTUNDE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-10",
"last_updated": "2011-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "P24246",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2011; 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.