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DR. OYINEMI IYEBOTE MD
NPI 1104768415
Student in an Organized Health Care Education/Training Program in Hagerstown, MD

Active since April 07, 2026PECOS Enrolled
11116 MEDICAL CAMPUS RD, HAGERSTOWN, MD 21742(301) 790-8000 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Oyinemi Iyebote Md NPPES

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

DR. OYINEMI IYEBOTE MD (NPI 1104768415) is an individual student in an organized health care education/training program in Hagerstown, Maryland and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104768415
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. OYINEMI IYEBOTECredential: MD
Location Address11116 MEDICAL CAMPUS RDHagerstown, MD 21742-6710
Mailing Address8469 Carmela CirSpringfield, VA 22153-4017
Phone(301) 790-8000
Sole ProprietorNo
Enumeration DateApril 7, 2026
NPPES CertifiedApril 7, 2026
✔ NPI 1104768415 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.
11116 MEDICAL CAMPUS RD, Hagerstown, MD 21742
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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. Oyinemi Iyebote Md 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.

Other Providers at the Same Location NPPES 20

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

ALLEN L TWIGG LCPC
Counselor (Professional)
11116 MEDICAL CAMPUS RD
HAGERSTOWN, MD 21742
Washington County (301) 766-7600
MS. PATTI KAY COOPER LCSW-C
Social Worker (Clinical)
11116 MEDICAL CAMPUS RD, SUITE 2989
HAGERSTOWN, MD 21742
Washington County (301) 766-7600
TARA BAKER
Nurse Practitioner (Family)
11116 MEDICAL CAMPUS RD
HAGERSTOWN, MD 21742
Washington County (301) 667-0041
RACHEL ANNE KNICLEY MS, LAT, ATC
Specialist/Technologist (Athletic Trainer)
11116 MEDICAL CAMPUS RD
HAGERSTOWN, MD 21742
Washington County (301) 491-2332
ERIKA SPINKS FNP
Nurse Practitioner
11116 MEDICAL CAMPUS RD
HAGERSTOWN, MD 21742
Washington County (301) 790-8000
HELMSON B LOUISDOR DO
Student in an Organized Health Care Education/Training Program
11116 MEDICAL CAMPUS RD
HAGERSTOWN, MD 21742
Washington County (240) 313-9554
MRS. JUDITH ANNE STAMBAUGH FNP-BC
Nurse Practitioner (Family)
11116 MEDICAL CAMPUS RD
HAGERSTOWN, MD 21742
Washington County (301) 790-8804
ERIN STRASSER PA-C
Physician Assistant
11116 MEDICAL CAMPUS RD
HAGERSTOWN, MD 21742
Washington County (301) 790-8000

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 Oyinemi Iyebote's NPI number?

The NPI number for Oyinemi Iyebote is 1104768415. It was assigned to this individual provider in the NPPES registry on April 7, 2026.

Where is Oyinemi Iyebote located?

Oyinemi Iyebote practices at 11116 Medical Campus Rd, Hagerstown, MD 21742. The listed phone number is (301) 790-8000.

What is Oyinemi Iyebote's specialty?

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

Is Oyinemi Iyebote enrolled in Medicare?

Yes. Oyinemi Iyebote is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Oyinemi Iyebote was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.