Omolara M Olowoyeye, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

D81771 Issued in MD

Practice address

10215 Fernwood Rd Ste 414
Bethesda, MD 20817

Phone

(301) 430-4000

Fax

(301) 430-4040

NPI assigned

Jun 21, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Dermatology

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: olowoyeye@radiance.emadirect.md

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.

• Radiance Dermatology LLC

  • Dermatology Physician
  • Bethesda, MD
  • NPI 1184283640

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1760703193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10215 FERNWOOD RD STE 414",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171191",
            "telephone_number": "301-430-4000",
            "fax_number": "301-430-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10215 FERNWOOD RD STE 414",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "20817",
            "telephone_number": "301-430-4000",
            "fax_number": "301-430-4040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6410 Rockledge Dr.",
            "address_2": "SUITE 201",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208171809",
            "country_code": "US",
            "telephone_number": "301-530-8300",
            "fax_number": "301-530-4638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLOWOYEYE",
        "first_name": "OMOLARA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-21",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D81771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD LICENSE",
            "identifier": "D0081771",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Douglas Oliver III, M.D., PH.D.
• Jodi Oliveri
• Laura D Oliveria, CNM
• Kenneth N Olivier, M.D.
• Thomas Anthony Ollerhead, DO
• Charles Nels Olsen, PT
• Jean Lorraine Olson, M.D.
• Michelle Denise Olson, D.O.
• Stephen Wayne Olson, MD
• Taiwo Oluro

• Dermatology Physician in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Dermatology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; 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.

Verify at the official NPI Registry.