Active NPI
Funlola Ibimina Famuyiwa
- Internal Medicine Physician
- Easton, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- DO066295
- 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
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 |
|---|---|---|---|---|
| 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
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- University of MD Shore Medical Ctr at Chestertown
- Luminis Health Anne Arundel Medical Center, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO066295 | MD | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Maryland Community Medical Group, Inc. | Current | Accepting new patients | |
| University of Maryland Community Medical Group, Inc. | Current | 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
- 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.
-
- Family Medicine Physician
- Baltimore, MD
- NPI 1477530624
-
- Psychiatry Physician
- La Plata, MD
- NPI 1679393854
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chestertown, MD
- NPI 1679536809
-
- Clinical Medical Laboratory
- Annapolis, MD
- NPI 1356885032
Hospital
-
- General Acute Care Hospital
- Annapolis, MD
- NPI 1477517225
-
- General Acute Care Hospital
- Cambridge, MD
- NPI 1194784751
-
- General Acute Care Hospital
- Easton, MD
- NPI 1669431219
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; 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.