DR. OLUFEMI EBUNOLU BALOGUN MD
NPI 1194010678
Family Medicine in Upper Marlboro, MD
About Dr. Olufemi Ebunolu Balogun Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. OLUFEMI EBUNOLU BALOGUN MD (NPI 1194010678) is an individual family medicine provider in Upper Marlboro, Maryland, licensed in Maryland (D83130) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS and is a graduate of Howard University College Of Medicine (2011).
NPPES Registry Identity
Specialties & Licenses
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
Dr. Olufemi Ebunolu Balogun Md 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.
Areas of Expertise CMS Part B claims
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20774 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.
LARGO, MD 20774
LARGO, MD 20774
LARGO, MD 20774
LARGO, MD 20774
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 Olufemi Balogun's NPI number?
The NPI number for Olufemi Balogun is 1194010678. It was assigned to this individual provider in the NPPES registry on June 13, 2011.
Where is Olufemi Balogun located?
Olufemi Balogun practices at 1221 Mercantile Ln, Upper Marlboro, MD 20774. The listed phone number is (301) 618-5500.
What is Olufemi Balogun's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Olufemi Balogun enrolled in Medicare?
Yes. Olufemi Balogun 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.
When was this NPI record last updated?
The NPPES record for Olufemi Balogun was last updated on June 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.
# Dr. Olufemi Ebunolu Balogun, MD · NPI 1194010678
Family Medicine physician in Upper Marlboro, Maryland. Individual provider, active in the CMS NPPES registry since June 13, 2011.
## Identity
- **NPI:** 1194010678 (Entity type: Individual)
- **Enumerated:** June 13, 2011
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** D83130 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 1221 MERCANTILE LN, Upper Marlboro, MD 20774-5374
- **Phone:** (301) 618-5500
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Howard University College Of Medicine, class of 2011
## Record status
- **NPPES last updated:** June 10, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1194010678) · Data from the CMS NPPES public registry.