IBIRONKE ODUYEBO M.D.
NPI 1164576633
Internal Medicine - Gastroenterology in Rockville, MD
About Ibironke Oduyebo M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IBIRONKE ODUYEBO M.D. (NPI 1164576633) is an individual gastroenterology provider in Rockville, Maryland, licensed in Michigan (4301116305) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Holy Cross Hospital, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ibironke Oduyebo M.d. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Ibironke Oduyebo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Gaithersburg, MD 20879
- Reassigned Medicare billing, District of Columbia enrollment
- Also billed through NPI 1497023188 (District of Columbia), NPI 1578638425 (District of Columbia), NPI 1073678637 (District of Columbia), NPI 1366781700 (District of Columbia)
- 2,492 clinicians in this Medicare group
Fredericksburg, VA 22401
- Reassigned Medicare billing, Virginia enrollment
- 323 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Holy Cross Hospital
Acute Care Hospitals · Silver Spring, MDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20850 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
ROCKVILLE, MD 20850
ROCKVILLE, MD 20850
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 Ibironke Oduyebo's NPI number?
The NPI number for Ibironke Oduyebo is 1164576633. It was assigned to this individual provider in the NPPES registry on January 22, 2007.
Where is Ibironke Oduyebo located?
Ibironke Oduyebo practices at 1396 Piccard Dr, Rockville, MD 20850. The listed phone number is (202) 384-4056.
What is Ibironke Oduyebo's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.
Is Ibironke Oduyebo enrolled in Medicare?
Yes. Ibironke Oduyebo 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.
Which organizations bill Medicare for Ibironke Oduyebo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ibironke Oduyebo reassigns Medicare benefits to 2 organizations: Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Gaithersburg, MD) and Mary Washington Healthcare Providers LLC (Fredericksburg, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ibironke Oduyebo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Ibironke Oduyebo affiliated with any hospitals?
According to CMS data, Ibironke Oduyebo is affiliated with Holy Cross Hospital.
When was this NPI record last updated?
The NPPES record for Ibironke Oduyebo was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Ibironke Oduyebo, M.D. · NPI 1164576633
Gastroenterology physician in Rockville, Maryland. Individual provider, active in the CMS NPPES registry since January 22, 2007.
## Identity
- **NPI:** 1164576633 (Entity type: Individual)
- **Enumerated:** January 22, 2007
- **Primary specialty:** Internal Medicine - Gastroenterology · taxonomy 207RG0100X
- **State license:** 4301116305 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 1396 PICCARD DR, Rockville, MD 20850-4302
- **Phone:** (202) 384-4056
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (NPI 1831471713, Gaithersburg, MD); Mary Washington Healthcare Providers LLC (NPI 1750826277, Fredericksburg, VA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Vanderbilt University School Of Medicine, class of 2006
## Record status
- **NPPES last updated:** July 22, 2026
- **Other identifiers:** Other T1627 (MD)
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Source: [NPI Profile](https://npiprofile.com/npi/1164576633) · Data from the CMS NPPES public registry.