Individual provider Active NPI

Morayo O Omojokun, M.D.

  • Family Medicine Physician
  • Reston, VA
National Provider Identifier
1700887486
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101238066 Issued in VA
Practice address
1800 Town Center Dr Ste 311
Reston, VA 20190-3239
Phone
(703) 763-2705
NPI assigned
Aug 3, 2005
Last updated
Feb 17, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101238066 VA Primary

Addresses

Primary practice location

1800 Town Center Dr Ste 311
Reston, VA 20190-3239

Mailing address

1800 Town Center Dr Ste 311
Reston, VA 20190-3239
Phone (703) 763-2705

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 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
I20050928000403 VA Practitioner - Family Practice 9638104771
I20180413001314 DC Practitioner - Family Practice 9638104771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Virginia School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prized Health PLLCGroup PAC ID 5092105072, 2 clinicians

Practice addresses (Care Compare)

1800 Town Ctr Dr
Suite 311
Reston, VA 20190-3239
Phone (703) 755-0634

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101238066VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prized Health PLLC Family Medicine CurrentSince Jan 5, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1800 Town Center Dr
Ste 311
Reston, VA 20190
Phone (301) 244-0148

Interoperability endpoints

  • Direct secure messaging: morayo.omojokun.1@25069.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/25069/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1700887486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 TOWN CENTER DR STE 311",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903239",
            "telephone_number": "703-763-2705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 TOWN CENTER DR STE 311",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903239",
            "telephone_number": "703-763-2705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMOJOKUN",
        "first_name": "MORAYO",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101238066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

Verify at the official NPI Registry.