Individual provider Active NPI

Mary Umahi Obasi Olomu, MD

  • Internal Medicine Physician
  • Stanford, CA
National Provider Identifier
1982117628
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A185215 Issued in CA
Practice address
269 Campus Dr # Mc5151
Stanford, CA 94305-5101
Phone
(650) 723-2300
NPI assigned
Nov 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A185215 CA Primary

Addresses

Primary practice location

269 Campus Dr # Mc5151
Stanford, CA 94305-5101

Mailing address

269 Campus Dr # Mc5151
Stanford, CA 94305-5101

Other names 1

  • Dr. Mary Umahi Obasi Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220223000971 CA Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 8123412848

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A185215CAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1510704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1982117628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 CAMPUS DR # MC5151",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943055101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 CAMPUS DR # MC5151",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943055101",
            "telephone_number": "650-723-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLOMU",
        "first_name": "MARY",
        "middle_name": "UMAHI OBASI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-15",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A185215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "OBASI",
            "middle_name": "UMAHI",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Stanford, CA

Sources for this page

Verify at the official NPI Registry.