Individual provider Active NPI

Oritsetsemaye Otubu, M.D.,MPH

  • Family Medicine Physician
  • Washington, DC
National Provider Identifier
1609011097
Registry record updated Oct 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD038700 Issued in DC
Practice address
2139 Georgia Ave NW FL 4
Howard University Family Health Center
Washington, DC 20001-3006
Phone
(202) 865-7499
NPI assigned
Dec 12, 2008
Last updated
Oct 14, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD038700 DC Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

2139 Georgia Ave NW FL 4
Howard University Family Health Center
Washington, DC 20001-3006

Mailing address

2024 Georgia NW Ave 2ND
Washington, DC 20001-3027
Phone (202) 865-6679

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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
I20111102000370 DC Practitioner - Family Practice 5597938803 Reassigns benefits to 3 organizations
I20191227000329 MD Practitioner - Family Practice 5597938803 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Carolina at Chapel Hill School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Urgent Care LLCGroup PAC ID 9335303155, shared by 36 NPIs, 300 clinicians

Practice addresses (Care Compare)

228 7TH St SE
Washington, DC 20003-4306
Phone (202) 698-0795

37767 Market Dr
Charlotte Hall, MD 20622-3188
Phone (301) 290-1499

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
69.47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD038700DCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Howard University Family Medicine CurrentSince Oct 14, 2015 Accepting new patients
Medstar Medical Group II LLC CurrentSince Mar 1, 2020 Accepting new patients
Medstar Urgent Care LLC CurrentSince May 1, 2018 Accepting new patients
Medstar Medical Group II LLC CurrentSince Mar 1, 2020 Accepting new patients
Medstar Urgent Care, LLC Current Accepting new patients
Medstar Urgent Care LLC CurrentSince Nov 4, 2019 Accepting new patients
Medstar Urgent Care LLC CurrentSince May 1, 2018 Accepting new patients
Medexpress, Inc - Delaware Family Medicine Past Accepting new patients
Medical Faculty Associates, Inc Past Accepting new patients
Howard University Past Accepting new patients

Locations

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

2041 Georgia Ave NW
Washington, DC 20060
Phone (202) 865-3785

2139 Georgia Ave NW
Washington, DC 20001
Phone (202) 865-1121

2139 Georgia Ave NW
Fl 4
Washington, DC 20001
Phone (202) 865-3200

228 7th St SE
Washington, DC 20003
Phone (202) 698-0795

6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890

29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300

1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440

2101 Medical Park Dr
Ste 305
Silver Spring, MD 20902
Phone (301) 754-0833

3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960

11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1229040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444780800000",
    "number": "1609011097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2024 GEORGIA NW AVE 2ND",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200013027",
            "telephone_number": "202-865-6679",
            "fax_number": "202-865-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2139 GEORGIA AVE NW FL 4",
            "address_2": "HOWARD UNIVERSITY FAMILY HEALTH CENTER",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200013006",
            "telephone_number": "202-865-7499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTUBU",
        "first_name": "ORITSETSEMAYE",
        "name_prefix": "Dr.",
        "credential": "M.D.,MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-12",
        "last_updated": "2015-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DC",
            "license": "MD038700",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.