MARY OGUNDARE NP
NPI 1225723638
Nurse Practitioner - Family in Washington, DC

Q: What is Mary Ogundare's NPI number?

The NPI number for Mary Ogundare is 1225723638. It was assigned to this individual provider in the NPPES registry on April 11, 2023.

Q: What is Mary Ogundare's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Ogundare was last updated on January 14, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 11, 2023PECOS EnrolledAccepts Medicare Assignment

2240 M ST NW, WASHINGTON, DC 20037(646) 671-2807 Get Directions Write a Review

NPPES record last updated: January 14, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 14, 2026, Apr 11, 2023 (2 updates tracked since 2023).

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About Mary Ogundare Np NPPES

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

MARY OGUNDARE NP (NPI 1225723638) is an individual family provider in Washington, District Of Columbia, licensed in New York (349457) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1225723638

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMARY OGUNDARECredential: NP

Location Address2240 M ST NWWashington, DC 20037-1415

Mailing Address1050 E 215th StBronx, NY 10469-1307 · (646) 671-2807

Phone(646) 671-2807

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateApril 11, 2023

Last NPPES UpdateJanuary 14, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 14, 2026

✔ NPI 1225723638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · 349457

2240 M ST NW, Washington, DC 20037

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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

Mary Ogundare Np 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 ID1153789797

PECOS Enrollment IDI20241122000190, I20250221002942

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 20037 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

$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.

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Other Providers at the Same Location NPPES 11

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

AMIR IBRAHIM

Pharmacist