DR. YETUNDE IBIYEMI PATRICK DDS
NPI 1225309362
Dentist in Washington, DC

Active since January 20, 2012PECOS Enrolled
1515 U ST NW STE A-1C1, WASHINGTON, DC 20009(202) 900-9006(202) 900-8980 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Yetunde Ibiyemi Patrick Dds NPPES

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

DR. YETUNDE IBIYEMI PATRICK DDS (NPI 1225309362) is an individual dentist in Washington, District Of Columbia, licensed in District Of Columbia (DEN1001234) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Hyattsville.

NPPES Registry Identity

NPI1225309362
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. YETUNDE IBIYEMI PATRICKCredential: DDS
Location Address1515 U ST NW STE A-1C1Washington, DC 20009-3948
Mailing Address1515 U Street Nw Suite A1 C-1Washington, DC 20009 · (202) 900-9006
Fax(202) 900-8980
Sole ProprietorNo
Enumeration DateJanuary 20, 2012
Last NPPES UpdateMarch 17, 2018
NPI 1225309362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in DC · DEN1001234
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 15003 (MD)
1515 U ST NW STE A-1C1, Washington, DC 20009

Secondary Practice Location 1

Location 13114 Queens Chapel RdHyattsville, MD 20782-3665 · Phone (301) 338-8888

Other Identifiers 1

Medicaid052089600MD

Accepted Insurance

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. Yetunde Ibiyemi Patrick Dds 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20009 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Yetunde Patrick's NPI number?

The NPI number for Yetunde Patrick is 1225309362. It was assigned to this individual provider in the NPPES registry on January 20, 2012.

Where is Yetunde Patrick located?

Yetunde Patrick practices at 1515 U St NW Ste A-1c1, Washington, DC 20009. The listed phone number is (202) 900-9006.

What is Yetunde Patrick's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Yetunde Patrick enrolled in Medicare?

Yes. Yetunde Patrick is registered in the Medicare PECOS enrollment system.

What insurance does Yetunde Patrick accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 4 other insurers list Yetunde Patrick 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.

When was this NPI record last updated?

The NPPES record for Yetunde Patrick was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.