DR. ADEFOLAJU OKETOKUN MD NPI 1003005661

Clinic/Center in Washington, DC

NPI 1003005661 Individual Female Years of Experience 26 Clinic/Center PECOS Enrolled Accepts Medicare Approved Payment

NPI Profile for DR. ADEFOLAJU OKETOKUN MD

Adefolaju Oketokun is a provider established in Washington, District Of Columbia and her medical specialization is clinic/center with more than 26 years of experience. The NPI number of Adefolaju Oketokun is 1003005661 and was assigned on October 2007. The practitioner's primary taxonomy code is 261Q00000X with license number MD 038372 (DC). The provider is registered as an individual and her NPI record was last updated one year ago.

Adefolaju Oketokun is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Adefolaju Oketokun is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The typical physician office visit costs for Medicare beneficiaries in this area are: $26.14 for a new patient copayment and $21.24 for an established patient copayment.

NPI

1003005661

Provider NameDR. ADEFOLAJU OKETOKUN MD
Provider Location Address1629 K ST NW STE 300 WASHINGTON, DC 20006
Provider Mailing AddressPO BOX 91280 WASHINGTON, DC 20090
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1997
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date10-19-2007
Last Update Date06-09-2021


Primary Taxonomy

Taxonomy Code261Q00000X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
License No.MD 038372
License StateDC
Taxonomy DescriptionA facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Business Address

DR. ADEFOLAJU OKETOKUN MD
1629 K ST NW STE 300
WASHINGTON, DC
ZIP 20006
Phone: (202) 636-1360

Get Directions


Mailing Address

DR. ADEFOLAJU OKETOKUN MD
PO BOX 91280
WASHINGTON, DC
ZIP 20090
Phone: (202) 636-5136



Secondary Locations

5820 Dix St NE
Washington, DC 20019
(202) 636-5136

PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID3971628603
PECOS Enrollment IDI20100917000294
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 20006 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99203
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$68.56 $204.56 $104.59
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$17.14 $51.14 $26.14
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99213
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$21.87 $167.24 $84.99
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$5.46 $41.81 $21.24

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 793Injection of allergenic extracts into skin, accessed through the skin (HCPCS:95004)

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeC1-0008405DENo

Taxonomy Description: Not Available

2261Q00000XAmbulatory Health Care FacilitiesClinic/CenterMD430487PANo

Taxonomy Description: a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

3261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent CareMD 038372DCNo

Taxonomy Description: Not Available

4332B00000XSuppliersDurable Medical Equipment & Medical SuppliesMD038372DCNo

Taxonomy Description: a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
040597500MEDICAID (05)DC

NPI Validation Check Digit Calculation


The following table explains step by step the NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003005661
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20030010612
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 0 + 1 + 0 + 6 + 1 + 2 + 24 = 39
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
40 - 39 = 11

The NPI number 1003005661 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1477889939 KATHIA DEVONNE STURDIVANT
Individual
Counselor1629 K ST NW STE 300
WASHINGTON, DC 20006
(202) 596-5951
1487984274MR. JOHN ANDREW TRUSTY
Individual
Marriage & Family Therapist1629 K ST NW STE 300
WASHINGTON, DC 20006
(202) 355-6394
1497062392 SYLVIA PAULING LPC
Individual
Counselor (Mental Health)1629 K ST NW STE 300
WASHINGTON, DC 20006
(202) 714-0209
1487951448MR. MELVIN CAUTHEN MSW, LICSW
Individual
Social Worker (Clinical)1629 K ST NW STE 300
WASHINGTON, DC 20006
(202) 368-6730
1003196676MR. NIGEL DAMIEN JACKSON LICSW
Individual
Social Worker (Clinical)1629 K ST NW STE 300
WASHINGTON, DC 20006
(202) 374-8702
1891070421 STEPHON PATTERSON LPC
Individual
Counselor (Professional)1629 K ST NW STE 300
WASHINGTON, DC 20006
(202) 469-2921
1952656662MS. TARA M BENN M.ED., LPC
Individual
Counselor (Professional)1629 K ST NW STE 300
WASHINGTON, DC 20006
(202) 870-0006
1285968917NATION CARE INC
Organization
In Home Supportive Care1629 K ST NW STE 300
WASHINGTON, DC 20006
(202) 459-1910
1558675132MR. DARIUS ADRIAN MILLS MA, LPC
Individual
Counselor (Professional)1629 K ST NW STE 300
WASHINGTON, DC 20006
(202) 441-9653
1770825721 BROOKE RENEE BAKER LPC
Individual
Counselor (Mental Health)1629 K ST NW STE 300
WASHINGTON, DC 20006
(240) 292-9323
1649618810NATION CARE DC, LLC
Organization
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities1629 K ST NW STE 300
WASHINGTON, DC 20006
(202) 459-1910
1629391552 MARIA ANTONIA ALFONSO M.S, L.P.C, L.M.H.C
Individual
Counselor (Professional)1629 K ST NW STE 300
WASHINGTON, DC 20006
(202) 368-8999
1548682115J & S HEALTH CARE, LLC
Organization
Home Health1629 K ST NW STE 300
WASHINGTON, DC 20006
(202) 808-2367
1801203997 SHONDA J. PERTILLA L.P.C.
Individual
Counselor (Professional)1629 K ST NW STE 300
WASHINGTON, DC 20006
(202) 550-0846
1336544311 RENEE MARSHALL MS, LPC, LCPC
Individual
Counselor (Mental Health)1629 K ST NW STE 300
WASHINGTON, DC 20006
(202) 491-4177
1942692306SOFTZ TOUCH LLC
Organization
Case Management1629 K ST NW STE 300
WASHINGTON, DC 20006
(301) 996-6277
1689043028DR. KIMBERLY NICOLE ROBINSON PH.D.
Individual
Psychologist (Clinical)1629 K ST NW STE 300
WASHINGTON, DC 20006
(301) 910-2758
1477919116QUEEN'S VISION INC
Organization
Case Management1629 K ST NW STE 300
WASHINGTON, DC 20006
(240) 701-4354
1508213679DIVINE TOUCH HEALTH SERVICES, INC.
Organization
Nursing Care1629 K ST NW STE 300
WASHINGTON, DC 20006
(240) 441-5285
1801260013AMAZING GRACE SUPPORTS INC
Organization
In Home Supportive Care1629 K ST NW STE 300
WASHINGTON, DC 20006
(240) 644-8032

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Dr. Adefolaju Oketokun Md is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.