Individual provider Active NPI

Funlola Ibimina Famuyiwa

  • Internal Medicine Physician
  • Easton, MD
National Provider Identifier
1992996631
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DO066295 Issued in MD
Practice address
500 Cadmus LN Ste 209
Easton, MD 21601-4094
Phone
(410) 822-0110
NPI assigned
Aug 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 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 DO066295 MD Primary

Addresses

Primary practice location

500 Cadmus LN Ste 209
Easton, MD 21601-4094

Mailing address

500 Cadmus LN Ste 209
Easton, MD 21601-4094
Phone (410) 822-0110

Other names 1

  • Olufunlola Ibimina Onafowokan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20090422000042 MD Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 5698822021 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Maryland Community Medical Group IncGroup PAC ID 3678472214, 446 clinicians

Practice addresses (Care Compare)

100 Brown St
Chestertown, MD 21620-1435

125 Shoreway Dr
Queenstown, MD 21658-1682

2540 Centreville Rd
Centreville, MD 21617-2681
Phone (410) 822-1000

500 Cadmus LN
Easton, MD 21601-4094

713 Cambridge Marketplace Blvd
Cambridge, MD 21613-2563

Hospital & facility affiliations

  • University of MD Shore Medical Center at Easton Hospital, Easton, MD, CCN 210037
  • University of MD Shore Medical Ctr at Chestertown Hospital, Chestertown, MD, CCN 210030
  • Luminis Health Anne Arundel Medical Center, Inc Hospital, Annapolis, MD, CCN 210023

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO066295MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Community Medical Group, Inc. CurrentSince Jan 1, 2014 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Jan 1, 2014 Accepting new patients

Locations

2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432

503 Cynwood Dr
Easton, MD 21601
Phone (410) 820-8824

503 Cynwood Dr
#G
Easton, MD 21601
Phone (410) 822-0110

500 Cadmus Ln
Ste 209
Easton, MD 21601
Phone (410) 820-4434

219 S Washington St
Easton, MD 21601

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

Interoperability endpoints

  • Direct secure messaging: ffamuyiwa450390@direct.umm.edu

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1992996631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CADMUS LN STE 209",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216014094",
            "telephone_number": "410-822-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CADMUS LN STE 209",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216014094",
            "telephone_number": "410-822-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAMUYIWA",
        "first_name": "FUNLOLA",
        "middle_name": "IBIMINA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-07",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "DO066295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLUFUNLOLA",
            "last_name": "ONAFOWOKAN",
            "middle_name": "IBIMINA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Easton, MD

Sources for this page

Verify at the official NPI Registry.