Individual provider Active NPI

Titilayo Ayodele Adewunmi Oluwabusi, MD

  • Family Medicine Physician
  • Reading, PA
National Provider Identifier
1912293077
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD481535 Issued in PA
Practice address
420 S 5TH Ave
Reading, PA 19611-2143
Phone
(484) 628-5455
NPI assigned
Jun 27, 2011
Last updated
Sep 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 75070 GA
Family Medicine Physician 207Q00000X 35.098314 OH
Family Medicine Physician 207Q00000X MD481535 PA Primary
Hospitalist Physician 208M00000X 35.098314 OH

Addresses

Primary practice location

420 S 5TH Ave
Reading, PA 19611-2143

Mailing address

PO Box 13579
Reading, PA 19612-3579
Phone (484) 628-1324

Other practice location 1

3535 Southern BLVD
Kettering, OH 45429-1221
Phone (937) 395-6665

Other practice location 2

1120 15th St
Augusta, GA 30912
Phone (706) 721-8623

Other identifiers 1

IdentifierTypeStateIssuer
0068839MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/
Direct Messaging Address osamuel876017@direct.ketteringhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, GA, PA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20120806000758 OH Practitioner - HospitalistPractitioner - Family Practice 7214183359 Reassigns benefits to 1 organization
I20190612003812 GA Practitioner - Family Practice 7214183359 Reassigns benefits to 1 organization
I20240430001341 PA Practitioner - Family Practice 7214183359 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.34 of 100Reported as group
Quality
63.67
Promoting interoperability
100
Improvement activities
40
Cost
74.14

Merit-based Incentive Payment System (MIPS)

Final score
84.71 of 100Reported as group
Quality
73.34
Promoting interoperability
97
Improvement activities
40
Cost
78.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
75070GAMDFamily Medicine Physician
35.098314OHMDFamily Medicine Physician
MD481535PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Au Medical Associates Inc CurrentSince Jul 1, 2019 Accepting new patients
Phoenixville Clinic Company LLC CurrentSince Jun 25, 2024 Accepting new patients
Tower Health Medical Group Family Medicine Current Accepting new patients
Kettering Independent Medical Group Inc Family Medicine CurrentSince Dec 29, 2022 Accepting new patients
Pottstown Clinic Company LLC Family Medicine CurrentSince Jun 25, 2024 Accepting new patients
Phoenixville Clinic Company LLC CurrentSince Jun 25, 2024 Accepting new patients
Tower Health Medical Group CurrentSince Jun 25, 2024 Accepting new patients
Au Medical Associates Inc CurrentSince Jul 1, 2019 Accepting new patients
Tower Health Medical Group CurrentSince Jun 25, 2024 Accepting new patients
Phoenixville Clinic Company LLC Family Medicine Current Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1120 15th St
Augusta, GA 30912
Phone (706) 721-3873

1120 15th St
Ste BI1056
Augusta, GA 30912
Phone (706) 721-2785

3535 Pentagon Blvd
Beavercreek, OH 45431
Phone (937) 702-4000

405 W Grand Ave
Dayton, OH 45405
Phone (937) 226-3200

3535 Southern Blvd
Kettering, OH 45429
Phone (937) 298-1221

4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3920

1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 762-1306

4000 Miamisburg Centerville Rd
Miamisburg, OH 45342
Phone (937) 384-8791

1141 N Monroe Dr
Xenia, OH 45385
Phone (937) 352-2000

140 Nutt Rd
Phoenixville, PA 19460
Phone (610) 983-1000

1600 E High St
Pottstown, PA 19464
Phone (610) 327-7485

730 S Hanover St
Pottstown, PA 19465
Phone (610) 323-6835

420 S 5th Ave
West Reading, PA 19611
Phone (484) 628-3637

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1606/brand/1/csg/101/fhir/r4
  • Direct secure messaging: osamuel876017@direct.ketteringhealth.org
  • Direct secure messaging: toluwabusi573485@direct.ketteringhealth.org

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1912293077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13579",
            "city": "READING",
            "state": "PA",
            "postal_code": "196123579",
            "telephone_number": "484-628-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 S 5TH AVE",
            "city": "READING",
            "state": "PA",
            "postal_code": "196112143",
            "telephone_number": "484-628-5455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3535 Southern BLVD",
            "address_purpose": "LOCATION",
            "city": "Kettering",
            "state": "OH",
            "postal_code": "454291221",
            "country_code": "US",
            "telephone_number": "937-395-6665",
            "fax_number": "937-395-6668",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1120 15th St",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "30912",
            "country_code": "US",
            "telephone_number": "706-721-8623",
            "fax_number": "706-721-1459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLUWABUSI",
        "first_name": "TITILAYO",
        "middle_name": "AYODELE ADEWUNMI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-27",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "75070",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.098314",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD481535",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OH",
            "license": "35.098314",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0068839",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "3535 Southern BLVD",
            "city": "Kettering",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454291221",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "osamuel876017@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "3535 Southern BLVD",
            "city": "Kettering",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454291221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

Verify at the official NPI Registry.