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ADEDAYO TEMITOPE OMOBO CRNP-PMH
NPI 1003497215
Nurse Practitioner - Psychiatric/Mental Health in Owings Mills, MD

Active since April 19, 2021PECOS EnrolledAccepts Medicare Assignment
10999 RED RUN BLVD STE 205, OWINGS MILLS, MD 21117(240) 462-7690 Get Directions Write a Review

NPPES record last updated: April 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Adedayo Temitope Omobo Crnp-pmh NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADEDAYO TEMITOPE OMOBO CRNP-PMH (NPI 1003497215) is an individual psychiatric/mental health provider in Owings Mills, Maryland, licensed in Maryland (R174545) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Temple Hills, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1003497215
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameADEDAYO TEMITOPE OMOBOCredential: CRNP-PMH
Location Address10999 RED RUN BLVD STE 205Owings Mills, MD 21117-3249
Mailing Address12906 Mayflower PlBowie, MD 20720-3368 · (240) 462-7690
Phone(240) 462-7690
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 19, 2021
NPPES CertifiedApril 2, 2021
✔ NPI 1003497215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MD · R174545
10999 RED RUN BLVD STE 205, Owings Mills, MD 21117
Open in Google Maps ↗

Secondary Practice Location 1

Location 13611 Branch Ave Ste 309Temple Hills, MD 20748-1242 · Phone (240) 413-9291

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Adedayo Temitope Omobo Crnp-pmh is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800185257
PECOS Enrollment IDI20210902000465
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21117 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THERESE BAGALE
Behavior Technician
10999 RED RUN BLVD STE 205
OWINGS MILLS, MD 21117
Baltimore County (833) 304-8595
DONTE ANDRE BETHEA JR.
Behavior Technician
10999 RED RUN BLVD STE 205
OWINGS MILLS, MD 21117
Baltimore County (443) 723-1110
UNIQUE JACKSON
Assistant Behavior Analyst
10999 RED RUN BLVD STE 205
OWINGS MILLS, MD 21117
Baltimore County (443) 469-6216
JAMILAH MONIQUE-ADEASHA BATSON
Behavior Technician
10999 RED RUN BLVD STE 205
OWINGS MILLS, MD 21117
Baltimore County (410) 620-8255
MARY ASH
Behavior Technician
10999 RED RUN BLVD STE 205
OWINGS MILLS, MD 21117
Baltimore County (833) 304-8595
ANNE NDONGO-ESE
Behavior Technician
10999 RED RUN BLVD STE 205
OWINGS MILLS, MD 21117
Baltimore County (410) 774-9840
RACHEL GILLOTTI LORICE GILLOTTI
Behavior Technician
10999 RED RUN BLVD STE 205
OWINGS MILLS, MD 21117
Baltimore County (833) 304-8595
DAESHA JENELL RAY
Behavior Technician
10999 RED RUN BLVD STE 205
OWINGS MILLS, MD 21117
Baltimore County (833) 304-8595

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Adedayo Omobo's NPI number?

The NPI number for Adedayo Omobo is 1003497215. It was assigned to this individual provider in the NPPES registry on April 19, 2021.

Where is Adedayo Omobo located?

Adedayo Omobo practices at 10999 Red Run Blvd Ste 205, Owings Mills, MD 21117. The listed phone number is (240) 462-7690.

What is Adedayo Omobo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Adedayo Omobo enrolled in Medicare?

Yes. Adedayo Omobo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Adedayo Omobo was last updated on April 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.