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MARY BOLUWATIFE IDOWU M.D.
NPI 1235664376
General Practice in Virginia Beach, VA

Active since April 26, 2017PECOS Enrolled
937 ATLANTIC AVE, VIRGINIA BEACH, VA 23451(757) 510-9516 Get Directions Write a Review

NPPES record last updated: September 2, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 2, 2020, Apr 26, 2017 (2 updates tracked since 2017).

About Mary Boluwatife Idowu M.d. NPPES

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

MARY BOLUWATIFE IDOWU M.D. (NPI 1235664376) is an individual general practice provider in Virginia Beach, Virginia, licensed in Virginia (0101265340) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Bethesda.

NPPES Registry Identity

NPI1235664376
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameMARY BOLUWATIFE IDOWUCredential: M.D.
Location Address937 ATLANTIC AVEVirginia Beach, VA 23451-3529
Mailing Address937 Atlantic AveVirginia Beach, VA 23451-3529 · (757) 510-9516
Phone(757) 510-9516
Sole ProprietorNo
Enumeration DateApril 26, 2017
Last NPPES UpdateSeptember 2, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2020
✔ NPI 1235664376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in VA · 0101265340
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
937 ATLANTIC AVE, Virginia Beach, VA 23451
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Secondary Practice Location 1

Location 1Ob Gyn Walter Reed National Military Ctr, 8901 Wisconsin AvenueBethesda, MD 20889-0001 · Phone (301) 295-2045

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Boluwatife Idowu M.d. 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.

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 Mary Idowu's NPI number?

The NPI number for Mary Idowu is 1235664376. It was assigned to this individual provider in the NPPES registry on April 26, 2017.

Where is Mary Idowu located?

Mary Idowu practices at 937 Atlantic Ave, Virginia Beach, VA 23451. The listed phone number is (757) 510-9516.

What is Mary Idowu's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Mary Idowu enrolled in Medicare?

Yes. Mary Idowu is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Idowu was last updated on September 2, 2020. 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.