Simisola Awofodu

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110007851 Issued in VA

Practice address

6230 Rolling Rd Ste J
Springfield, VA 22152-2326

Phone

(571) 889-3235

Fax

(571) 889-3236

NPI assigned

Oct 21, 2019

Last updated

Apr 20, 2023By the provider in NPPES

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

Electronic endpoints 1

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: No

Green means eligible to order or refer.

Enrollment records 3

Specialty

Physician Assistant

Education

University of Maryland School of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Inova Ucc LLCGroup PAC ID 7012385040, 158 clinicians

M Medical Group, Inc.Group PAC ID 7719278597, 104 clinicians

Radial Health SCGroup PAC ID 4385537299, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medstar Washington Hospital Center Hospital, Washington, DC, CCN 090011

Merit-based Incentive Payment System (MIPS)

Final score

88.6 of 100Reported as group

Quality

84.42

Promoting interoperability

100

Improvement activities

40

Cost

77.58

Merit-based Incentive Payment System (MIPS)

Final score

86.47 of 100Reported as group

Quality

77.19

Improvement activities

40

Cost

63.38

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sawofodu1152731@soc.inova.org

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.

• M Medical Group, Inc.

  • Critical Care Medicine (Internal Medicine) Physician
  • Clinton, MD
  • NPI 1780056168

  DC

  Medicare reassignment Care Compare group NPD
• Radial Health SC

  dba Rehabilitation Medicine Specialists

  • Physical Medicine & Rehabilitation Physician
  • Chicago, IL
  • NPI 1215954185

  DC

  Medicare reassignment Care Compare group NPD
• Inova Ucc LLC

  • Urgent Care Clinic/Center
  • Vienna, VA
  • NPI 1508592114

  DC

  Medicare reassignment Care Compare group
• Virginia Internal Medicine Inc

  • Internal Medicine Physician
  • Ashburn, VA
  • NPI 1740525245
  Medicare reassignment
• M Management Group LLC

  • Pulmonary Disease Physician
  • Landover, MD
  • NPI 1487215182

  DC

  Medicare reassignment
• M Medical Group, Inc.

  • Internal Medicine Physician
  • Rising Sun, MD
  • NPI 1164238333
  Medicare reassignment
• M Medical Group, Inc.

  • Internal Medicine Physician
  • Baltimore, MD
  • NPI 1447076203
  NPD
• M Medical Group, Inc.

  • Internal Medicine Physician
  • Glen Burnie, MD
  • NPI 1710793906
  NPD
• Inova Health Care Services

  dba Inova Blood Donor Services

  • Medical Technologist
  • Sterling, VA
  • NPI 1699655589
  NPD (past)

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

• Washington Hospital Center Corporation

  • General Acute Care Hospital
  • Washington, DC
  • NPI 1548378235
  Care Compare affiliation

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1376186684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6230 ROLLING RD STE J",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221522326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6230 ROLLING RD STE J",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221522326",
            "telephone_number": "571-889-3235",
            "fax_number": "571-889-3236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWOFODU",
        "first_name": "SIMISOLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-21",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110007851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "connecturl",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "620 W Lexington St",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212011508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Atlantic Health Care Inc
• Norie Attia
• Audrey Maiurano,DDS,PC
• Autism Community Alliance (Aca)
• Avail Outreach
• Mitchell B Axelrod, O.D.
• Oritsematosan Ayu
• Azmy LLC
• Michaela Babcock
• Amy C Babish, MA, LPC, ATR-BC

• Physician Assistant in Springfield, VA
• Providers in Springfield, VA by specialty
• Physician Assistant in Virginia

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