Individual provider Active NPI

Akinbowale Olatokunbo Oyalowo

  • Gastroenterology Physician
  • Philadelphia, PA
National Provider Identifier
1821356957
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD458702 Issued in PA
Practice address
3400 Civic Center Blvd
Div of Gastroenterology, Pcam - South Pavilion, 7TH FL
Philadelphia, PA 19104
Phone
(215) 662-4301
NPI assigned
Apr 26, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD458702 PA Primary

Addresses

Primary practice location

3400 Civic Center Blvd
Div of Gastroenterology, Pcam - South Pavilion, 7TH FL
Philadelphia, PA 19104

Mailing address

3400 Civic Center Blvd
Div of Gastroenterology, Pcam - South Pavilion, 7TH FL
Philadelphia, PA 19104-5127

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20180716002697 PA Practitioner - GastroenterologyPractitioner - Internal Medicine 6800186115 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
University of Maryland School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

835 5TH Ave
Chambersburg, PA 17201-4220
Phone (717) 263-0629

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy11
Upper gastrointestinal (GI) endoscopy for acid reflux26

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group Gastroenterology Current Accepting new patients
University of Penn - Medical Group Gastroenterology CurrentSince Jul 1, 2018 Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Feb 3, 2023 Accepting new patients
University of Penn-Medical Group CurrentSince Jul 1, 2018 Accepting new patients
Wellspan Medical Group CurrentSince Sep 23, 2024 Accepting new patients
Wellspan Medical Group CurrentSince Sep 23, 2024 Accepting new patients
DLP Conemaugh Physician Practices LLC Gastroenterology CurrentSince Feb 3, 2023 Accepting new patients

Locations

835 5th Ave
Chambersburg, PA 17201
Phone (717) 217-4312

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

1015 Franklin St
Fl C
Johnstown, PA 15905
Phone (814) 534-1270

3400 Civic Center Blvd
#4
Philadelphia, PA 19104
Phone (215) 614-1618

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

3400 Spruce St
Fl 3
Philadelphia, PA 19104

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

1600 S George St
York, PA 17403
Phone (717) 848-3615

601 Memory Ln
York, PA 17402
Phone (717) 851-6670

Interoperability endpoints

  • Direct secure messaging: akinbowale.oyalowo.1@30520.direct.athenahealth.com
  • Direct secure messaging: aoyalowo448392@wellspan.direct-ci.com

Organizations & group practices 7

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1821356957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 CIVIC CENTER BLVD",
            "address_2": "DIV OF GASTROENTEROLOGY, PCAM - SOUTH PAVILION, 7TH FL",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191045127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 CIVIC CENTER BLVD",
            "address_2": "DIV OF GASTROENTEROLOGY, PCAM - SOUTH PAVILION, 7TH FL",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19104",
            "telephone_number": "215-662-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OYALOWO",
        "first_name": "AKINBOWALE",
        "middle_name": "OLATOKUNBO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-26",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD458702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.