Individual provider Active NPI

Titilope Oduyebo, M.D., M.P.H

  • Obstetrics & Gynecology Physician
  • Atlanta, GA
National Provider Identifier
1962643973
Registry record updated Oct 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
072777 Issued in GA
Practice address
69 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3033
Phone
(404) 251-8812
NPI assigned
Mar 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 072777 GA Primary

Addresses

Primary practice location

69 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3033

Mailing address

69 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3033
Phone (404) 251-8812

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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
I20200408000390 MD Practitioner - Obstetrics/Gynecology 4981862083 Reassigns benefits to 1 organization
I20251013001537 DC Practitioner - HospitalistPractitioner - Obstetrics/Gynecology 4981862083 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Obstetrics/Gynecology
Education
Yale University School of Medicine, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8095 Innovation Park Dr
Fairfax, VA 22031-4868

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Sep 2, 2025 Accepting new patients
Inova Health Care Services Obstetrics & Gynecology Current Accepting new patients
Inova Health Care Services CurrentSince Sep 2, 2025 Accepting new patients

Locations

3650 Joseph Siewick Dr
Ste 106
Fairfax, VA 22033
Phone (703) 620-1144

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

Interoperability endpoints

  • Direct secure messaging: tilitope.oduyebo.p1@direct.bmsi.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1237507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444003200000",
    "number": "1962643973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 JESSE HILL JR DR SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303033033",
            "telephone_number": "404-251-8812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 JESSE HILL JR DR SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303033033",
            "telephone_number": "404-251-8812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODUYEBO",
        "first_name": "TITILOPE",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-20",
        "last_updated": "2015-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "072777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.