Individual provider Active NPI

Teniola Oke, PA

  • Medical Physician Assistant
  • Washington, DC
National Provider Identifier
1730878539
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
C0009736 Issued in MD
Practice address
3800 Reservoir Rd NW FL 7
Washington, DC 20007-2113
Phone
(202) 444-4972
NPI assigned
May 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Medical Physician Assistant 363AM0700X 0110011023 VA
Medical Physician Assistant 363AM0700X PA20002118 DC
Medical Physician Assistant 363AM0700X C0009736 MD Primary

Addresses

Primary practice location

3800 Reservoir Rd NW FL 7
Washington, DC 20007-2113

Mailing address

4520 Pine St SE Unit 1148
Smyrna, GA 30080-6922
Phone (817) 808-9606

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250502003191 DC Practitioner - Physician Assistant 6507383536 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA20002118DCMDMedical Physician Assistant
C0009736MDMDMedical Physician Assistant
0110011023VAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
MGMC, LLC CurrentSince Apr 1, 2025 Accepting new patients
Medstar Medical Group II LLC Past Accepting new patients

Locations

3800 Reservoir Rd NW
Fl 7
Washington, DC 20007
Phone (202) 444-4972

3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203

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": "1683244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1730878539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 PINE ST SE UNIT 1148",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806922",
            "telephone_number": "817-808-9606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 RESERVOIR RD NW FL 7",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200072113",
            "telephone_number": "202-444-4972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKE",
        "first_name": "TENIOLA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-05",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110011023",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "DC",
            "license": "PA20002118",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0009736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.