Fredrick Olayiwola Dopemu, MD

Primary specialty

TechnicianTaxonomy code 374700000X

License

MT0158723 Issued in MD

Practice address

2759 Martin Luther King Jr Ave SE
Washington, DC 20032-2646

Phone

(202) 827-9961

Fax

(202) 827-9963

NPI assigned

Oct 28, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• New Hope Health Services, LLC

  • Adult Mental Health Clinic/Center
  • Washington, DC
  • NPI 1437628914
  NPD (past)

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1497577829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5615 ANNAPOLIS RD",
            "city": "BLADENSBURG",
            "state": "MD",
            "postal_code": "207102205",
            "telephone_number": "432-999-8894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2759 MARTIN LUTHER KING JR AVE SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200322646",
            "telephone_number": "202-827-9961",
            "fax_number": "202-827-9963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOPEMU",
        "first_name": "FREDRICK",
        "middle_name": "OLAYIWOLA",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374700000X",
            "taxonomy_group": "",
            "desc": "Technician",
            "state": "MD",
            "license": "MT0158723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Anthony Dooley, MD
• William Doolin
• Doors of Hope Inc
• Doors of Hope Inc.
• Doors of Hope Medical Supplies
• Kouekado Dopeu
• Dora Mamodesene,MD,PC
• Punnieswaran Dorasamy
• Markyse Dorceus, FNP
• Julia Dorfman, M.D., PH.D.

• Technician in Washington, DC
• Providers in Washington, DC by specialty
• Technician in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.