Modupe Odunuga, MD

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

D45663 Issued in MD

Practice address

6122 Landover Rd
Cheverly, MD 20785-1016

Phone

(301) 322-2411

Fax

(301) 322-2412

NPI assigned

Sep 13, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• PG Communitypediatric and Adolescent Health Center Inc.

  • Pediatrics Physician
  • Cheverly, MD
  • NPI 1275173031
  NPD (past) Authorized official
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1871588079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 NANTUCKET CT",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208544423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6122 LANDOVER RD",
            "city": "CHEVERLY",
            "state": "MD",
            "postal_code": "207851016",
            "telephone_number": "301-322-2411",
            "fax_number": "301-322-2412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODUNUGA",
        "first_name": "MODUPE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D45663",
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "MD",
            "license": "D45663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evangeline C Obi, MD
• Ngozi Uchenna Obi, M.D
• Judith Obong, PHARMD
• Josephine Odaji
• Olufunmilayo Oduba
• Beryl Owi Ofon
• Elohor Ogbotor
• Adaora Ogbuachi
• Tolulope Ogunrinde
• Oluseun Detutu Ojo, CNA, HHA, CMT

• Pediatric Adolescent Medicine Physician in Cheverly, MD
• Providers in Cheverly, MD by specialty
• Pediatric Adolescent Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.