Individual provider Active NPI

Oluwatomisin Elizabeth Olasimbo, PA-C

  • Medical Physician Assistant
  • Columbia, MD
National Provider Identifier
1790507283
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
6220 Old Dobbin LN Ste 200
Columbia, MD 21045-5813
Phone
(410) 964-5300
Fax
(410) 964-5300
NPI assigned
Oct 28, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

6220 Old Dobbin LN Ste 200
Columbia, MD 21045-5813

Mailing address

6220 Old Dobbin LN Ste 200
Columbia, MD 21045-5813
Phone (410) 964-5300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20250423001778 MD Practitioner - Physician Assistant 4688199532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bellor Leichtling Saway and Schneider PCGroup PAC ID 9436114931, 20 clinicians

Practice addresses (Care Compare)

5450 Knoll N Dr
Suite 275
Columbia, MD 21045-2394
Phone (410) 964-6139

622 O Old Dobbin LN
Columbia, MD 21045-5812
Phone (410) 964-6300

6220 Old Dobbin LN
Columbia, MD 21045-5812

6220 Old Dobbin LN
Suite 200
Columbia, MD 21045-5813
Phone (410) 964-5300

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: oluwatomisin.olasimbo.1@30148.direct.athenahealth.com

Organizations & group practices 1

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": "1730073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1790507283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6220 OLD DOBBIN LN STE 200",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455813",
            "telephone_number": "410-964-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6220 OLD DOBBIN LN STE 200",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455813",
            "telephone_number": "410-964-5300",
            "fax_number": "410-964-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLASIMBO",
        "first_name": "OLUWATOMISIN",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-28",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.