Individual provider Active NPI

Adora C Okogbule-Wonodi, M.D.

  • Neonatal-Perinatal Medicine Physician
  • Washington, DC
National Provider Identifier
1730127127
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
MD043691 Issued in DC
Practice address
2041 Georgia Ave NW FL 6
Washington, DC 20060-1544
Phone
(202) 865-4541
Fax
(202) 865-7951
NPI assigned
Jun 4, 2006
Last updated
Mar 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X D61078 MD
Neonatal-Perinatal Medicine Physician 2080N0001X MD043691 DC Primary

Addresses

Primary practice location

2041 Georgia Ave NW FL 6
Washington, DC 20060-1544

Mailing address

2041 Georgia Ave NW Ste 3400
Washington, DC 20060-0001
Phone (202) 865-6679

Other practice location 1

5755 Cedar Ln
Columbia, MD 21044-2999
Phone (410) 764-2178

Other identifiers 1

IdentifierTypeStateIssuer
001008100MedicaidMD

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
I20160323000457 DC Practitioner - Pediatric Medicine 9436146073 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD043691DCMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Howard University CurrentSince Feb 8, 2016 Accepting new patients
Howard University Hospital Corp Past Accepting new patients

Locations

2024 Georgia Ave NW
Fl 2
Washington, DC 20001
Phone (202) 595-3223

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

2041 Georgia Ave NW
#6101
Washington, DC 20060

2041 Georgia Ave NW
Fl 6
Washington, DC 20060
Phone (202) 865-1967

2041 Georgia Ave NW
Ste 3400
Washington, DC 20060
Phone (202) 865-6679

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

Interoperability endpoints

  • Direct secure messaging: aokogbulewonodi228361@direct.hopkinsmedicine.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1730127127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2041 GEORGIA AVE NW STE 3400",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200600001",
            "telephone_number": "202-865-6679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 GEORGIA AVE NW FL 6",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200601544",
            "telephone_number": "202-865-4541",
            "fax_number": "202-865-7951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5755 Cedar Ln",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210442999",
            "country_code": "US",
            "telephone_number": "410-764-2178",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKOGBULE-WONODI",
        "first_name": "ADORA",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "MD",
            "license": "D61078",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "DC",
            "license": "MD043691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001008100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.