Individual provider Active NPI

Odunayo Elizabeth Ogunnaike, M.D.

  • Internal Medicine Physician
  • Paoli, PA
National Provider Identifier
1477900421
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD467775 Issued in PA
Practice address
255 W Lancaster Ave
Paoli, PA 19301-1763
Phone
(484) 565-1000
NPI assigned
May 19, 2016
Last updated
Feb 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD467775 PA Primary
Hospitalist Physician 208M00000X MD467775 PA

Addresses

Primary practice location

255 W Lancaster Ave
Paoli, PA 19301-1763

Mailing address

213 Bakers Close
Newtown Square, PA 19073-5000
Phone (240) 464-5335

Other practice location 1

2601 Holme Ave
Philadelphia, PA 19152-2007
Phone (215) 335-6562

Other practice location 2

1500 Lansdowne Ave
Darby, PA 19023-1200
Phone (610) 237-4000

Other practice location 3

1021 Park Ave
Quakertown, PA 18951-0130
Phone (866) 785-8537

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20190801003427 PA Practitioner - Internal MedicinePractitioner - Hospitalist 1759673494 Reassigns benefits to 5 organizations
I20241205003864 NJ Practitioner - Internal Medicine 1759673494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Galen Inpatient Physicians PCGroup PAC ID 3678464633, 1,045 clinicians
Main Line HealthcareGroup PAC ID 1951215201, 1,154 clinicians

Practice addresses (Care Compare)

1203 Langhorne Newtown Rd
Suite 226
Langhorne, PA 19047-1224
Phone (215) 757-7212

1500 Lansdowne Ave
Darby, PA 19023-1200
Phone (610) 237-4000

255 W Lancaster Ave
Paoli, PA 19301-1763
Phone (484) 337-4097

435 Hurffville Cross Keys Rd
Turnersville, NJ 08012-2453
Phone (856) 513-4124

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Physician Group, Inc. CurrentSince Jun 24, 2019 Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Oct 22, 2025 Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Oct 22, 2025 Accepting new patients
Kennedy Medical Group Practice, P.C. CurrentSince Dec 1, 2024 Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Dec 9, 2022 Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Dec 9, 2022 Accepting new patients
Galen Inpatient Physicians PC Hospitalist Current Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St Luke's Physician Group Inc CurrentSince Jun 24, 2019 Accepting new patients
Main Line Healthcare Internal Medicine CurrentSince Nov 1, 2021 Accepting new patients
Mercer Bucks Medical Associates, P.C. Internal Medicine CurrentSince Jul 1, 2023 Accepting new patients
Kennedy Medical Group Practice, P.C. Internal Medicine Current Accepting new patients
Kennedy Medical Group Practice PC CurrentSince Dec 1, 2024 Accepting new patients
Trinity Health Mid-Atlantic Medical Group Current Accepting new patients
Nazareth Physician Services, Inc Past Accepting new patients
Kennedy University Hospital Inc. Past Accepting new patients
Riddle Memorial Hospital Past Accepting new patients
Mercy Catholic Medical Center of Southeastern PA Past Accepting new patients

Locations

2201 Chapel Ave W
Cherry Hill, NJ 08002
Phone (856) 488-6500

457 Haddonfield Rd
Ste 110
Cherry Hill, NJ 08002
Phone (856) 406-4091

151 Fries Mill Rd
Ste 301
Turnersville, NJ 08012
Phone (856) 374-1881

830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200

1500 Lansdowne Ave
Darby, PA 19023
Phone (610) 237-4561

1503 Lansdowne Ave
Ste 3001
Darby, PA 19023
Phone (610) 586-4100

1503 Lansdowne Ave
Ste 3003
Darby, PA 19023
Phone (610) 586-4100

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

1203 Langhorne Newtown Rd
Ste 226
Langhorne, PA 19047
Phone (215) 710-4460

1411 Woodbourne Rd
Levittown, PA 19057
Phone (215) 943-8900

255 W Lancaster Ave
Paoli, PA 19301
Phone (484) 337-4286

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

2601 Holme Ave
Philadelphia, PA 19152
Phone (215) 335-6000

2701 Holme Ave
Ste 100
Philadelphia, PA 19152
Phone (215) 335-3972

100 E Lancaster Ave
Wynnewood, PA 19096
Phone (484) 337-3583

Interoperability endpoints

  • Direct secure messaging: oogunnaike2082931@direct.trinity-health.org

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 5

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": "1463616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1477900421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 BAKERS CLOSE",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190735000",
            "telephone_number": "240-464-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 W LANCASTER AVE",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011763",
            "telephone_number": "484-565-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2601 Holme Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191522007",
            "country_code": "US",
            "telephone_number": "215-335-6562",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 Lansdowne Ave",
            "address_purpose": "LOCATION",
            "city": "Darby",
            "state": "PA",
            "postal_code": "190231200",
            "country_code": "US",
            "telephone_number": "610-237-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1021 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Quakertown",
            "state": "PA",
            "postal_code": "189510130",
            "country_code": "US",
            "telephone_number": "866-785-8537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OGUNNAIKE",
        "first_name": "ODUNAYO",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-19",
        "last_updated": "2023-02-01",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD467775",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "MD467775",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paoli, PA

Sources for this page

Verify at the official NPI Registry.