Individual provider Active NPI

Kikelomo Olufunmilayo Otuyelu-Garritano, MD

  • Obstetrics & Gynecology Physician
  • Wilton, CT
National Provider Identifier
1992995310
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
47101 Issued in CT
Practice address
65 Old Ridgefield Rd
Wilton, CT 06897-3018
Phone
(914) 632-8164
Fax
(203) 529-3132
NPI assigned
Aug 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 47101 CT Primary
Obesity Medicine (Obstetrics & Gynecology) Physician 207VB0002X 47101 CT

Addresses

Primary practice location

65 Old Ridgefield Rd
Wilton, CT 06897-3018

Mailing address

65 Old Ridgefield Rd
Wilton, CT 06897-3018
Phone (914) 523-3469

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47101CTMDObesity Medicine (Obstetrics & Gynecology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Her Wellness Health Center LLC Obstetrics & Gynecology PastSince Jul 24, 2022 Accepting new patients
Fairfield County Medical Services Inc Obstetrics & Gynecology PastSince Jan 1, 2014 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kikelom.otuyelu-garritano.1@10170.direct.athenahealth.com
  • Direct secure messaging: kikelomo.garritano.1@27673.direct.athenahealth.com
  • Direct secure messaging: kikelomo.otuyelu-garritano.1@16202.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/16202/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1992995310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 OLD RIDGEFIELD RD",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068973018",
            "telephone_number": "914-523-3469",
            "fax_number": "203-529-3132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 OLD RIDGEFIELD RD",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068973018",
            "telephone_number": "914-632-8164",
            "fax_number": "203-529-3132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTUYELU-GARRITANO",
        "first_name": "KIKELOMO",
        "middle_name": "OLUFUNMILAYO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-01",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CT",
            "license": "47101",
            "primary": true
        },
        {
            "code": "207VB0002X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obesity Medicine",
            "state": "CT",
            "license": "47101",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.