Active NPI
Adora C Okogbule-Wonodi, M.D.
- Neonatal-Perinatal Medicine Physician
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- MD043691
- 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, 2023
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001008100 | Medicaid | MD |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD043691 | DC | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Howard University | Current | 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
- 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.
-
dba Faculty Practice Plan Howard University
- Multi-Specialty Clinic/Center
- Washington, DC
- NPI 1033163597
-
- General Acute Care Hospital
- Washington, DC
- NPI 1487740957
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.