DR. ADEFOLAJU OKETOKUN MD NPI 1003005661
Internal Medicine - Addiction Medicine in Washington, DC
About DR. ADEFOLAJU OKETOKUN MD
Adefolaju Oketokun is an internist established in Washington, District Of Columbia and her medical specialization is Internal Medicine with a focus in addiction medicine with more than 26 years of experience. The NPI number of this provider is 1003005661 and was assigned on October 2007. The practitioner's primary taxonomy code is 207RA0401X with license number 0101262019 (VA). The provider is registered as an individual and her NPI record was last updated one year ago.
| NPI | 1003005661 |
| Provider Name | DR. ADEFOLAJU OKETOKUN MD |
| Location Address | 1629 K STREET NW SUITE 300 WASHINGTON, DC 20006 |
| Location Phone | (202) 636-1360 |
| Mailing Address | PO BOX 91280 WASHINGTON, DC 20090 |
| Gender | Female |
| NPI Entity Type | Individual |
| Medical School Name | OTHER |
| Graduation Year | 1997 |
| Is Sole Proprietor? | Yes |
| Enumeration Date | 10-19-2007 |
| Last Update Date | 08-17-2022 |
An internist like Adefolaju Oketokun is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.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: $38.79 for a new patient copayment and $30.05 for an established patient copayment.
Primary Taxonomy
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.
| Taxonomy Code | 207RA0401X |
| Classification | Internal Medicine |
| Type | Allopathic & Osteopathic Physicians |
| Specialization | Addiction Medicine |
| License No. | 0101262019 |
| License State | VA |
| Taxonomy Description | An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
- Medicaid
- Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
1629 K STREET NW
SUITE 300
WASHINGTON, DC
ZIP 20006
Phone: (202) 636-1360
Fax: (202) 636-5137
Mailing Address
PO BOX 91280
WASHINGTON, DC
ZIP 20090
Phone: (202) 636-5136
Fax: (202) 636-5137
Secondary Locations
5820 Dix St NE
Washington, DC 20019
(202) 636-5136
Location Map
PECOS Enrollment and Medicare Participation Status
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 ID | 3971628603 |
| PECOS Enrollment ID | I20100917000294 |
| 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 Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
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: 99204 | ||
| Minimum New Patient Pricing | Maximum New Patient Pricing | Typical New Patient Pricing |
| $68.56 | $204.56 | $155.19 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $17.14 | $51.14 | $38.79 |
| Established Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for established patients office visits: 99214 | ||
| Minimum Established Patient Pricing | Maximum Established Patient Pricing | Typical Established Patient Pricing |
| $21.87 | $167.24 | $120.2 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $5.46 | $41.81 | $30.05 |
* 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 |
|---|---|---|---|---|---|---|---|
| 1 | 207RA0401X | Allopathic & Osteopathic Physicians | Internal Medicine | Addiction Medicine | D0084292 | MD | No |
Taxonomy Description: an internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. | |||||||
| 2 | 207RA0401X | Allopathic & Osteopathic Physicians | Internal Medicine | Addiction Medicine | MD038372 | DC | No |
Taxonomy Description: an internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. | |||||||
| 3 | 208D00000X | Allopathic & Osteopathic Physicians | General Practice | C1-0008405 | DE | No | |
Taxonomy Description: Not Available | |||||||
| 4 | 261Q00000X | Ambulatory Health Care Facilities | Clinic/Center | MD430487 | PA | No | |
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). | |||||||
| 5 | 261Q00000X | Ambulatory Health Care Facilities | Clinic/Center | MD 038372 | DC | No | |
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). | |||||||
| 6 | 261QU0200X | Ambulatory Health Care Facilities | Clinic/Center | Urgent Care | MD 038372 | DC | No |
Taxonomy Description: Not Available | |||||||
| 7 | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies | MD038372 | DC | No | |
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 |
|---|---|---|
| 040597500 | MEDICAID (05) | DC |
NPI Validation Check Digit Calculation
The following table explains the step by step 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. | |||||||||
| 1 | 0 | 0 | 3 | 0 | 0 | 5 | 6 | 6 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 0 | 0 | 10 | 6 | 12 | |
| 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 = 1 | 1 | ||||||||
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.
Frequently Asked Questions
What is Dr. Adefolaju Oketokun MD NPI number?
The NPI number assigned to this healthcare provider is 1003005661, registered as an "individual" on October 19, 2007
Where is Dr. Adefolaju Oketokun MD located?
The provider is located at 1629 K Street Nw Suite 300 Washington, Dc 20006 and the phone number is (202) 636-1360
Which is Dr. Adefolaju Oketokun MD specialty?
The provider's speciality is Internal Medicine with a focus in Addiction Medicine
How many years of experience does Dr. Adefolaju Oketokun MD have?
The provider has more than 26 years of experience.
What insurance does Dr. Adefolaju Oketokun MD accept?
The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Is Dr. Adefolaju Oketokun MD registered in PECOS?
Yes, as of March 13, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary 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.
How much is a visit to Dr. Adefolaju Oketokun MD?
Medicare beneficiaries should expect a typical cost of $155.19 with an average copayment of $38.79 for new patient appointments. Established patients should expect a typical charge of $120.2 and an average copayment of 30.05. Please review your insurance plan or contact the provider directly to determine your specific costs.
What are some of the services provided by Dr. Adefolaju Oketokun MD?
The most common procedures or services performed by this practitioner are: Injection of allergenic extracts into skin, accessed through the skin.
How do I update my NPI information?
The NPI record of Dr. Adefolaju Oketokun MD was last updated on October 19, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
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