NPIMap

Individual provider Active NPI

Oluwateniola B Olatunde, MD

  • Cardiovascular Disease Physician
  • Cumberland, MD
National Provider Identifier
1891217162
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
D0095988 Issued in MD
Practice address
12502 Willowbrook Rd, Upmc Western Maryland
Suite 420
Cumberland, MD 21502
Phone
(240) 964-8740
Fax
(240) 964-8741
NPI assigned
Jul 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Cardiovascular Disease Physician 207RC0000X D0095988 MD Primary

Addresses

Primary practice location

12502 Willowbrook Rd, Upmc Western Maryland
Suite 420
Cumberland, MD 21502

Mailing address

12502 Willowbrook Road Suite 420 Upmc Western Maryland
Cumberland, MD 21502
Phone (240) 964-8740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230606002327 MD Practitioner - Cardiovascular Disease (Cardiology) 8022355668 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

12502 Willowbrook Rd
Suite 420
Cumberland, MD 21502-6567
Phone (240) 964-8740

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0095988MDMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Western Maryland Health Services, LLC Current Accepting new patients
Upmc Western Maryland Health Services, LLC Cardiovascular Disease CurrentSince Jul 1, 2023 Accepting new patients
Upmc Western Maryland Health Services, LLC CurrentSince Jul 1, 2023 Accepting new patients
Upmc Western Maryland Corporation Cardiovascular Disease Past Accepting new patients
Upmc Western Maryland Corporation Past Accepting new patients

Locations

12502 Willowbrook Rd
Ste 420
Cumberland, MD 21502
Phone (240) 964-8740

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

Interoperability endpoints

  • Direct secure messaging: oolatunde189414@upmc.direct-ci.com
  • Direct secure messaging: oluwateniola.b.olatunde@upmcdirect.com

Organizations & group practices 5

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 7

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": "1499472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1891217162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12502 WILLOWBROOK ROAD SUITE 420 UPMC WESTERN MARYLAND",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "21502",
            "telephone_number": "240-964-8740",
            "fax_number": "240-964-8741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12502 WILLOWBROOK RD, UPMC WESTERN MARYLAND",
            "address_2": "SUITE 420",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "21502",
            "telephone_number": "240-964-8740",
            "fax_number": "240-964-8741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLATUNDE",
        "first_name": "OLUWATENIOLA",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-08",
        "last_updated": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "D0095988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, MD

Sources for this page

Verify at the official NPI Registry.