1. Home
  2. Directory
  3. Maryland
  4. Baltimore
  5. Physician Assistant
  6. NPI Profile

MR. MICHAEL OLUWASOGO FOWOWE PA
NPI 1053827196
Physician Assistant in Baltimore, MD

Active since December 27, 2017PECOS EnrolledAccepts Medicare Assignment
1045 TAYLOR AVE STE 104, BALTIMORE, MD 21286(410) 296-0180(410) 296-1587 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Dec 27, 2017 (2 updates tracked since 2017).

About Mr. Michael Oluwasogo Fowowe Pa NPPES

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

MR. MICHAEL OLUWASOGO FOWOWE PA (NPI 1053827196) is an individual physician assistant in Baltimore, Maryland, licensed in Maryland (C0006689) and active in the NPI registry since December 2017. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1053827196
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. MICHAEL OLUWASOGO FOWOWECredential: PA
Location Address1045 TAYLOR AVE STE 104Baltimore, MD 21286-8315
Mailing Address2976 Siwanoy DrEdgewood, MD 21040-3435 · (443) 414-3587 · Fax (410) 296-1687
Phone(410) 296-0180
Fax(410) 296-1587
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateDecember 27, 2017
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1053827196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MD · C0006689
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License C0006689 (MD)
1045 TAYLOR AVE STE 104, Baltimore, MD 21286
Open in Google Maps ↗

Secondary Practice Locations 2

Location 19000 Franklin Square DrBaltimore, MD 21237-3901 · Phone (443) 777-7415
Location 22203 Philadelphia RdEdgewood, MD 21040-1109 · Phone (410) 612-0275 · Fax (410) 612-0287

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

Mr. Michael Oluwasogo Fowowe Pa 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 ID3577817055
PECOS Enrollment IDI20181120000902
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 21286 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
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
Most-billed visit code 99213
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 4

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

MAUREEN OWOH
Nurse Practitioner (Psychiatric/Mental Health)
1045 TAYLOR AVE STE 104
TOWSON, MD 21286
Baltimore County (410) 296-0180
GLOBAL HEALTHCARE SYSTEMS, INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
1045 TAYLOR AVE STE 104
BALTIMORE, MD 21286
Baltimore County (410) 296-0180
GLOBAL HEALTHCARE SYSTEMS, INC
Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))
1045 TAYLOR AVE STE 104
BALTIMORE, MD 21286
Baltimore County (410) 296-0189
GLOBAL HEALTHCARE SYSTEMS, INC
Clinic/Center (Primary Care)
1045 TAYLOR AVE STE 104
BALTIMORE, MD 21286
Baltimore County (410) 296-0180

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 Michael Fowowe's NPI number?

The NPI number for Michael Fowowe is 1053827196. It was assigned to this individual provider in the NPPES registry on December 27, 2017.

Where is Michael Fowowe located?

Michael Fowowe practices at 1045 Taylor Ave Ste 104, Baltimore, MD 21286. The listed phone number is (410) 296-0180.

What is Michael Fowowe's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Michael Fowowe enrolled in Medicare?

Yes. Michael Fowowe 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 Michael Fowowe was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.