Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

IBIRONKE ODUYEBO M.D.
NPI 1164576633
Internal Medicine - Gastroenterology in Rockville, MD

Active since January 22, 2007PECOS Enrolled
1396 PICCARD DR, ROCKVILLE, MD 20850(202) 384-4056 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 22, 2026, Jan 7, 2022, Jul 14, 2021 and 2 more (5 updates tracked since 2018).

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

NPI1164576633
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameIBIRONKE ODUYEBOCredential: M.D.
Location Address1396 PICCARD DRRockville, MD 20850-4302
Mailing Address7106 Swansong WayBethesda, MD 20817-1270 · (443) 939-5322
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 2006
Enumeration DateJanuary 22, 2007
Last NPPES UpdateJuly 22, 20265 updates tracked since enumeration
NPPES CertifiedJuly 22, 2026
NPI 1164576633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses Licensed in MI · 4301116305 Licensed in MN · 59209 Licensed in VA · 0101267118
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 4301116305 (MI)
1396 PICCARD DR, Rockville, MD 20850

Secondary Practice Locations 2

Location 1200 1st St SWRochester, MN 55905-0001 · Phone (507) 284-2511
Location 27500 Challis Rd, 2nd floorBrighton, MI 48116-9416 · Phone (810) 263-4000

Other Identifiers 1

OtherT1627MD · Johns Hopkins Provider #

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

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.

PECOS PAC ID446398085
PECOS Enrollment IDI20191023001057
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.

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, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number210004
Location1500 Forest Glen RoadSilver Spring, MD 20910 · Montgomery County
Birthing friendly

Physician 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.

New Patient
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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 20

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

Radiologic Technologist (Mammography)
1396 PICCARD DR
ROCKVILLE, MD 20850
Pediatrics (Developmental - Behavioral Pediatrics)
1396 PICCARD DR, KAISER PERMANENTE SHADY GROVE MEDICAL CENTER
ROCKVILLE, MD 20850
Health Maintenance Organization
1396 PICCARD DR
ROCKVILLE, MD 20850
Internal Medicine
1396 PICCARD DR, SHADY GROVE
ROCKVILLE, MD 20850
Social Worker (Clinical)
1396 PICCARD DR
ROCKVILLE, MD 20850
Social Worker (Clinical)
1396 PICCARD DR
ROCKVILLE, MD 20850
Psychiatry & Neurology (Psychiatry)
1396 PICCARD DR
ROCKVILLE, MD 20850
Social Worker (Clinical)
1396 PICCARD DR
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.

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 17 days 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.