Individual provider Active NPI

Modupe Oluwafunmilayo Obadina, M.D.

  • Hematology & Oncology Physician
  • Greenbelt, MD
National Provider Identifier
1649253485
Registry record updated Mar 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
D0043159 Issued in MD
Practice address
7325 Hanover Pkwy
Suite a
Greenbelt, MD 20770-3618
Phone
(301) 345-3966
Fax
(301) 982-2937
NPI assigned
Nov 25, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2010

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 D0043159 MD
Hematology & Oncology Physician 207RH0003X D0043159 MD Primary

Addresses

Primary practice location

7325 Hanover Pkwy
Suite a
Greenbelt, MD 20770-3618

Mailing address

7325 Hanover Pkwy
Suite a
Greenbelt, MD 20770-3618
Phone (301) 345-3966

Other identifiers 14

IdentifierTypeStateIssuer
282344OtherMDMDIPA
7240130OtherMDAETNA HEALTHCARE
C500-0002OtherDCCAREFIRST OF DC
521863411OtherMDNCAS
52640604OtherMDCAREFIRST OF MD
64757OtherMDAMERIGROUP
190461200MedicaidMD
282344OtherMDMAMSI HEALTHCARE
497106OtherMDNCPPO
100587OtherMDJOHNS HOPKINS HEALTHCARE
521863411OtherMDCIGNA HEALTHCARE
C500-0002OtherMDBLUE CROSS/BLUE SHIELD
0405180OtherMDUNITED HEALTHCARE
282344OtherMDONENET PPO

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
I20100907000607 DC Practitioner - Hematology/OncologyPractitioner - Internal Medicine 8820126246 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bethel Medical Clinic CharteredGroup PAC ID 1850429275, 2 clinicians

Practice addresses (Care Compare)

7325 Hanover Pkwy
Suite a
Greenbelt, MD 20770-3618
Phone (301) 345-3966

7325 Hanover Pkwy a
Greenbelt, MD 20770-3618

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0043159MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bethel Medical Clinic Chartered Internal Medicine CurrentSince Feb 15, 2000 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

7325 Hanover Pkwy
Ste A
Greenbelt, MD 20770
Phone (301) 220-1827

Organizations & group practices 2

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": "1132876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268092800000",
    "number": "1649253485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7325 HANOVER PKWY",
            "address_2": "SUITE A",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703618",
            "telephone_number": "301-345-3966",
            "fax_number": "301-982-2937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7325 HANOVER PKWY",
            "address_2": "SUITE A",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703618",
            "telephone_number": "301-345-3966",
            "fax_number": "301-982-2937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBADINA",
        "first_name": "MODUPE",
        "middle_name": "OLUWAFUNMILAYO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-25",
        "last_updated": "2010-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0043159",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MD",
            "license": "D0043159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDIPA",
            "identifier": "282344",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HEALTHCARE",
            "identifier": "7240130",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST OF DC",
            "identifier": "C500-0002",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCAS",
            "identifier": "521863411",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST OF MD",
            "identifier": "52640604",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "64757",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "190461200",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI HEALTHCARE",
            "identifier": "282344",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPPO",
            "identifier": "497106",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHNS HOPKINS HEALTHCARE",
            "identifier": "100587",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "521863411",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "C500-0002",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0405180",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ONENET PPO",
            "identifier": "282344",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

Verify at the official NPI Registry.