Active NPI
Titilope Oduyebo, M.D., M.P.H
- Obstetrics & Gynecology Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 072777
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inova Health Care Services | Current | Accepting new patients | |
| Inova Health Care Services | Obstetrics & Gynecology | Current | Accepting new patients |
| Inova Health Care Services | Current | 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
- 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.
-
- Internal Medicine Physician
- Falls Church, VA
- NPI 1952320061
DC, Obstetrics & Gynecology
-
dba BMS@Yard56
- Federally Qualified Health Center (FQHC)
- Baltimore, MD
- NPI 1164138152
-
dba Inova Juniper Program
- Multi-Specialty Clinic/Center
- Fairfax, VA
- NPI 1669511051
-
dba Inova Blood Donor Services
- Medical Technologist
- Sterling, VA
- NPI 1699655589
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.