Individual provider Active NPI

Olanrewaju O Falusi, MD

  • Pediatrics Physician
  • Washington, DC
National Provider Identifier
1629235296
Registry record updated Jun 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD037032 Issued in DC
Practice address
1630 Euclid St NW
Washington, DC 20009-5675
Phone
(703) 600-9432
NPI assigned
May 20, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X D69623 MD
Pediatrics Physician 208000000X MD037032 DC Primary

Addresses

Primary practice location

1630 Euclid St NW
Washington, DC 20009-5675

Mailing address

1630 Euclid St NW
Washington, DC 20009-5675
Phone (703) 600-9432

Other names 1

  • Dr. Olanrewaju O Omojokun Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20091020000237 DC Practitioner - Pediatric Medicine 6507903861 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD037032DCMDPediatrics Physician
D69623MDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Hospital Pediatrics CurrentSince May 27, 2016 Accepting new patients
Children'S Hospital Current Accepting new patients
Children'S Hospital CurrentSince May 27, 2016 Accepting new patients

Locations

111 Michigan Ave NW
Washington, DC 20010
Phone (202) 476-3670

1630 Euclid St NW
Washington, DC 20009
Phone (202) 476-5580

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465776000000",
    "number": "1629235296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 EUCLID ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200095675",
            "telephone_number": "703-600-9432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 EUCLID ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200095675",
            "telephone_number": "703-600-9432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALUSI",
        "first_name": "OLANREWAJU",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-20",
        "last_updated": "2016-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D69623",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "DC",
            "license": "MD037032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLANREWAJU",
            "last_name": "OMOJOKUN",
            "middle_name": "O",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.