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DR. MICHAEL OLUWASEUN OMOSULE MBBS
NPI 1104673052
Student in an Organized Health Care Education/Training Program in Baltimore, MD

Active since April 30, 2024PECOS Enrolled
201 EAST UNIVERSITY PARKWAY, 33RD ST. BUILDING, SUITE 405, BALTIMORE, MD 21218(443) 621-9055 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 29, 2024, Apr 30, 2024 (2 updates tracked since 2024).

About Dr. Michael Oluwaseun Omosule Mbbs NPPES

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

DR. MICHAEL OLUWASEUN OMOSULE MBBS (NPI 1104673052) is an individual student in an organized health care education/training program in Baltimore, Maryland and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104673052
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. MICHAEL OLUWASEUN OMOSULECredential: MBBS
Location Address201 EAST UNIVERSITY PARKWAY, 33RD ST. BUILDING, SUITE 405Baltimore, MD 21218
Mailing Address201 East University Parkway, 33rd St. Building, Suite 405Baltimore, MD 21218 · (443) 621-9055
Phone(443) 621-9055
Sole ProprietorNo
Enumeration DateApril 30, 2024
Last NPPES UpdateApril 21, 20252 updates tracked since enumeration
NPPES CertifiedApril 21, 2025
✔ NPI 1104673052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
201 EAST UNIVERSITY PARKWAY, 33RD ST. BUILDING, Baltimore, MD 21218
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michael Oluwaseun Omosule Mbbs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Omosule's NPI number?

The NPI number for Michael Omosule is 1104673052. It was assigned to this individual provider in the NPPES registry on April 30, 2024.

Where is Michael Omosule located?

Michael Omosule practices at 201 East University Parkway, 33rd St. Building Suite 405, Baltimore, MD 21218. The listed phone number is (443) 621-9055.

What is Michael Omosule's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Michael Omosule enrolled in Medicare?

Yes. Michael Omosule is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Omosule was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.