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DR. OLUFUNMILOLA MODUPE OGBONLOWO M.D.
NPI 1174926679
Family Medicine in Lansdowne, VA

Active since September 29, 2014PECOS Enrolled
19440 GOLF VISTA PLZ STE 120, LANSDOWNE, VA 20176(571) 293-2424(833) 913-2348 Get Directions Write a Review

NPPES record last updated: October 31, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 30, 2021, Mar 22, 2021, Sep 4, 2018 (3 updates tracked since 2018).

About Dr. Olufunmilola Modupe Ogbonlowo M.d. NPPES

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

DR. OLUFUNMILOLA MODUPE OGBONLOWO M.D. (NPI 1174926679) is an individual family medicine provider in Lansdowne, Virginia, licensed in Virginia (0101263837) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS, is affiliated with Inova Loudoun Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1174926679
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. OLUFUNMILOLA MODUPE OGBONLOWOCredential: M.D.
Location Address19440 GOLF VISTA PLZ STE 120Lansdowne, VA 20176-8264
Mailing Address19440 Golf Vista Plz Ste 120Lansdowne, VA 20176-8264 · (571) 293-2424 · Fax (833) 913-2348
Phone(571) 293-2424
Fax(833) 913-2348
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 29, 2014
Last NPPES UpdateOctober 31, 20253 updates tracked since enumeration
NPPES CertifiedOctober 31, 2025
✔ NPI 1174926679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in VA · 0101263837✔ Licensed in MI · 4301107153
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedLactation Consultant, Non-RNTaxonomy 174N00000X · License 10421511 (VA)
19440 GOLF VISTA PLZ STE 120, Lansdowne, VA 20176
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Olufunmilola Modupe Ogbonlowo M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385993138
PECOS Enrollment IDI20180828000936
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Olufunmilola Ogbonlowo reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lighthouse Family Medicine And Wellness PLLC
Same address
Family Medicine
19440 GOLF VISTA PLZ STE 120
Lansdowne, VA 20176
  • Reassigned Medicare billing, Virginia enrollment
NPI 1164003752 (571) 293-2424
Valley Physician Enterprise, Inc.
27 mi
Family Medicine
115 SOUTH CHURCH STREET
Berryville, VA 22611
  • Reassigned Medicare billing, Virginia enrollment
  • 386 clinicians in this Medicare group
NPI 1700562634 (540) 955-4811
Patient First Richmond Medical Group PLLC
97 mi
Family Medicine
5000 COX RD, SUITE 100
Glen Allen, VA 23060
  • Reassigned Medicare billing, District of Columbia and Virginia enrollments
  • 263 clinicians in this Medicare group
NPI 1689603748 (804) 822-4355

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
68 services28 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
20 services20 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
17 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Inova Loudoun Hospital

Acute Care Hospitals · Leesburg, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490043
Location44045 Riverside ParkwayLeesburg, VA 20176 · Loudoun County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20176 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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

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

LIGHTHOUSE FAMILY MEDICINE AND WELLNESS PLLC
Family Medicine
19440 GOLF VISTA PLZ STE 120
LANSDOWNE, VA 20176
Loudoun County (571) 293-2424

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 Olufunmilola Ogbonlowo's NPI number?

The NPI number for Olufunmilola Ogbonlowo is 1174926679. It was assigned to this individual provider in the NPPES registry on September 29, 2014.

Where is Olufunmilola Ogbonlowo located?

Olufunmilola Ogbonlowo practices at 19440 Golf Vista Plz Ste 120, Lansdowne, VA 20176. The listed phone number is (571) 293-2424.

What is Olufunmilola Ogbonlowo's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Olufunmilola Ogbonlowo enrolled in Medicare?

Yes. Olufunmilola Ogbonlowo is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Olufunmilola Ogbonlowo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Olufunmilola Ogbonlowo reassigns Medicare benefits to 3 organizations: Lighthouse Family Medicine And Wellness PLLC (Lansdowne, VA), Valley Physician Enterprise, Inc. (Berryville, VA) and Patient First Richmond Medical Group PLLC (Glen Allen, 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 Olufunmilola Ogbonlowo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Olufunmilola Ogbonlowo accept?

Health plans from CareSource list Olufunmilola Ogbonlowo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Olufunmilola Ogbonlowo affiliated with any hospitals?

According to CMS data, Olufunmilola Ogbonlowo is affiliated with Inova Loudoun Hospital.

When was this NPI record last updated?

The NPPES record for Olufunmilola Ogbonlowo was last updated on October 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.