Active NPI
Modupe Oluwafunmilayo Obadina, M.D.
- Hematology & Oncology Physician
- Greenbelt, MD
National Provider Identifier
1649253485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- D0043159
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 282344 | Other | MD | MDIPA |
| 7240130 | Other | MD | AETNA HEALTHCARE |
| C500-0002 | Other | DC | CAREFIRST OF DC |
| 521863411 | Other | MD | NCAS |
| 52640604 | Other | MD | CAREFIRST OF MD |
| 64757 | Other | MD | AMERIGROUP |
| 190461200 | Medicaid | MD | |
| 282344 | Other | MD | MAMSI HEALTHCARE |
| 497106 | Other | MD | NCPPO |
| 100587 | Other | MD | JOHNS HOPKINS HEALTHCARE |
| 521863411 | Other | MD | CIGNA HEALTHCARE |
| C500-0002 | Other | MD | BLUE CROSS/BLUE SHIELD |
| 0405180 | Other | MD | UNITED HEALTHCARE |
| 282344 | Other | MD | ONENET 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| D0043159 | MD | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bethel Medical Clinic Chartered | Internal Medicine | Current | 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.
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.