Individual provider Active NPI

Adedamola Omogbehin, MD

  • Radiation Oncology Physician
  • Washington, DC
National Provider Identifier
1841233541
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
MD32344 Issued in DC
Practice address
110 Irving Street NW
Washington, DC 20010
Phone
(202) 877-3925
Fax
(804) 355-6031
NPI assigned
Jun 13, 2006
Last updated
Jul 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD32344 DC
Radiation Oncology Physician 2085R0001X 01096353A IN
Radiation Oncology Physician 2085R0001X MD32344 DC Primary

Addresses

Primary practice location

110 Irving Street NW
Washington, DC 20010

Mailing address

110 Irving Street NW
Washington, DC 20010
Phone (202) 877-3925

Other practice location 1

3699 Epworth Rd
Newburgh, IN 47630-8909
Phone (812) 471-1200

Other identifiers 1

IdentifierTypeStateIssuer
037632900MedicaidDC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060918000450 DC Practitioner - Radiation Oncology 5698670628 Reassigns benefits to 1 organization
I20250804001048 IN Practitioner - Radiation Oncology 5698670628 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians
St Marys Medical Group LLCGroup PAC ID 1153493341, 230 clinicians

Practice addresses (Care Compare)

110 Irving St NW
Washington, DC 20010-3017
Phone (202) 877-7000

3699 Epworth Rd
Newburgh, IN 47630-8909
Phone (812) 471-1200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
69.47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD32344DCMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
St Mary's Medical Group, LLC CurrentSince Aug 4, 2025 Accepting new patients
Medstar Medical Group II LLC CurrentSince May 1, 2022 Accepting new patients
Medstar Medical Group II LLC CurrentSince May 1, 2022 Accepting new patients
St Mary's Medical Group, LLC CurrentSince Aug 4, 2025 Accepting new patients
Ahoskie Imaging LLC Radiation Oncology Past Accepting new patients
Radiation Services of North Carolina LLC Radiation Oncology Past Accepting new patients
East Carolina Health Past Accepting new patients
St. Mary's Health, Inc Past Accepting new patients
Oncology Associates of Virginia PC Radiation Oncology Past Accepting new patients

Locations

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

801 Saint Marys Dr
Ste 505E
Evansville, IN 47714
Phone (812) 491-3236

3699 Epworth Rd
Newburgh, IN 47630
Phone (812) 471-1200

Organizations & group practices 9

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.

Hospital & facility affiliations 2

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1841233541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 IRVING STREET NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20010",
            "telephone_number": "202-877-3925",
            "fax_number": "804-355-6031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 IRVING STREET NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20010",
            "telephone_number": "202-877-3925",
            "fax_number": "804-355-6031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3699 Epworth Rd",
            "address_purpose": "LOCATION",
            "city": "Newburgh",
            "state": "IN",
            "postal_code": "476308909",
            "country_code": "US",
            "telephone_number": "812-471-1200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OMOGBEHIN",
        "first_name": "ADEDAMOLA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "DC",
            "license": "MD32344",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "IN",
            "license": "01096353A",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "DC",
            "license": "MD32344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037632900",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.