OMOKOREDE FATILE
NPI 1275256992
Nurse Practitioner - Psychiatric/Mental Health in Pikesville, MD
About Omokorede Fatile NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OMOKOREDE FATILE (NPI 1275256992) is an individual psychiatric/mental health provider in Pikesville, Maryland, licensed in Maryland (R214086) and active in the NPI registry since September 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Omokorede Fatile 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.
Medicare Billing Reassignments
9Medicare enrollment records show Omokorede Fatile reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Pikesville, MD 21208
- Reassigned Medicare billing, Maryland enrollment
Pikesville, MD 21208
- Reassigned Medicare billing, Maryland and District of Columbia enrollments
- Also billed through NPI 1740049568 (District of Columbia)
- 114 clinicians in this Medicare group
Baltimore, MD 21202
- Reassigned Medicare billing, Maryland enrollment
- 31 clinicians in this Medicare group
Baltimore, MD 21205
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 132 clinicians in this Medicare group
Masury, OH 44438
- Reassigned Medicare billing, District of Columbia, Indiana, Maryland and West Virginia enrollments
- 27 clinicians in this Medicare group
Durham, NC 27701
- Reassigned Medicare billing, Maryland enrollment
- 71 clinicians in this Medicare group
Charleston, WV 25304
- Reassigned Medicare billing, West Virginia enrollment
- 49 clinicians in this Medicare group
San Francisco, CA 94131
- Reassigned Medicare billing, Maryland enrollment
- Medicare enrollment name: Brightside Medical PC
- 23 clinicians in this Medicare group
- Reassigned Medicare billing, District of Columbia, Indiana and Maryland enrollments
- 24 clinicians in this Medicare group
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 7
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 21208 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PIKESVILLE, MD 21208
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 Omokorede Fatile's NPI number?
The NPI number for Omokorede Fatile is 1275256992. It was assigned to this individual provider in the NPPES registry on September 20, 2022.
Where is Omokorede Fatile located?
Omokorede Fatile practices at 1515 Reisterstown Rd Ste 304, Pikesville, MD 21208. The listed phone number is (718) 749-4346.
What is Omokorede Fatile's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Omokorede Fatile enrolled in Medicare?
Yes. Omokorede Fatile 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.
Which organizations bill Medicare for Omokorede Fatile's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Omokorede Fatile reassigns Medicare benefits to 9 organizations: Imisio Healthcare Services (Pikesville, MD), Integrahealth LLC (Pikesville, MD), Salus Health Inc (Baltimore, MD), Toller Enterprises LLC (Baltimore, MD), PA Post Acute Services PC (Masury, OH) and 4 more organizations, listed in the Medicare section above. 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 Omokorede Fatile's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Omokorede Fatile accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas and UnitedHealthcare list Omokorede Fatile 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 Omokorede Fatile was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Omokorede Fatile · NPI 1275256992
Psychiatric/Mental Health physician in Pikesville, Maryland. Individual provider, active in the CMS NPPES registry since September 20, 2022.
## Identity
- **NPI:** 1275256992 (Entity type: Individual)
- **Enumerated:** September 20, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** R214086 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1515 REISTERSTOWN RD STE 304, Pikesville, MD 21208-4336
- **Phone:** (718) 749-4346
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 9 organizations under Medicare reassignment (form CMS-855R): Imisio Healthcare Services (NPI 1902768104, Pikesville, MD); Integrahealth LLC (NPI 1306710793, Pikesville, MD); Salus Health Inc (NPI 1285244004, Baltimore, MD); Toller Enterprises LLC (NPI 1821694084, Baltimore, MD); PA Post Acute Services PC (NPI 1255057063, Masury, OH); and 4 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** June 4, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1275256992) · Data from the CMS NPPES public registry.