Oluwatobi Omobo, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R228974 Issued in MD

Practice address

9831 Greenbelt Rd Ste 103
Lanham, MD 20706-6224

Phone

(301) 792-0855

NPI assigned

Aug 20, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Valor Health IncGroup PAC ID 6709206337, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: oomobo1260852@direct.hopkinsmedicine.org
• Direct secure messaging: oluwatobi.omobo.1@32712.direct.athenahealth.com
• Direct secure messaging: oluwatobi.omobo.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.

• Magnify Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
  • NPI 1720891252

  DC

  Medicare reassignment NPD Authorized official
• Valor Health Inc

  • Multi-Specialty Clinic/Center
  • Glen Burnie, MD
  • NPI 1427576040

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Baltimore Medical System, Inc.

  • Federally Qualified Health Center (FQHC)
  • Baltimore, MD
  • NPI 1164138152
  Medicare reassignment NPD
• Lartey Wellness Group LLC

  • Mental Health Counselor
  • Laurel, MD
  • NPI 1942761838

  DC

  Medicare reassignment
• Baltimore Medical System, Inc.

  • Federally Qualified Health Center (FQHC)
  • Baltimore, MD
  • NPI 1700882503
  NPD

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

{
    "created_epoch": "1629417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1356017198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9831 GREENBELT RD STE 103",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207066224",
            "telephone_number": "301-792-0855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9831 GREENBELT RD STE 103",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207066224",
            "telephone_number": "301-792-0855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMOBO",
        "first_name": "OLUWATOBI",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-20",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R228974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ire Olumese
• Pauline Oluwo, NP
• Aisha Mercy Omaghomi
• Omega Behavioral Clinic LLC
• Ademola Clement Omisakin Jr., LGPC
• Olufunke Omomo
• Adenike Titilayo Omosebi
• Ayodele Omoteye, HHA
• Lydienne Onana Ebegne Epouse K
• One Step Forward

• Psychiatric/Mental Health Nurse Practitioner in Lanham, MD
• Providers in Lanham, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; 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.