MR. TAJUDEEN OMODEOYE PMHNP-BC
NPI 1356817373
Nurse Practitioner - Psychiatric/Mental Health in Baltimore, MD

Active since October 17, 2018PECOS EnrolledAccepts Medicare Assignment
5411 OLD FREDERICK RD STE 8, BALTIMORE, MD 21229(443) 315-5007(443) 251-5393 Get Directions Write a Review

NPPES record last updated: January 2, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 2, 2020, Oct 17, 2018 (2 updates tracked since 2018).

About Mr. Tajudeen Omodeoye Pmhnp-bc NPPES

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

MR. TAJUDEEN OMODEOYE PMHNP-BC (NPI 1356817373) is an individual psychiatric/mental health provider in Baltimore, Maryland, licensed in Maryland (PENDING) and active in the NPI registry since October 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1356817373
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. TAJUDEEN OMODEOYECredential: PMHNP-BC
Location Address5411 OLD FREDERICK RD STE 8Baltimore, MD 21229-2126
Mailing Address1708 Greens LnHanover, MD 21076-1116
Fax(443) 251-5393
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 17, 2018
Last NPPES UpdateJanuary 2, 20202 updates tracked since enumeration
✔ NPI 1356817373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MD · PENDING
5411 OLD FREDERICK RD STE 8, Baltimore, MD 21229

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

Mr. Tajudeen Omodeoye Pmhnp-bc 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 ID9537402391
PECOS Enrollment IDI20190517002182
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Tajudeen Omodeoye reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health
5411 OLD FREDERICK RD STE 13&14
Baltimore, MD 21229
  • Reassigned Medicare billing, Maryland enrollment
  • 12 clinicians in this Medicare group
Psychiatric/Mental Health
1708 GREENS LN
Hanover, MD 21076
  • Reassigned Medicare billing, Maryland enrollment
Psychologist
9841 BROKEN LAND PKWY STE 314
Columbia, MD 21046
  • Reassigned Medicare billing, Maryland enrollment
  • 109 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21229 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

Other Providers at the Same Location NPPES 3

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

Community/Behavioral Health
5411 OLD FREDERICK RD STE 8
BALTIMORE, MD 21229
Community/Behavioral Health
5411 OLD FREDERICK RD STE 8
BALTIMORE, MD 21229
Social Worker (Clinical)
5411 OLD FREDERICK RD STE 8
BALTIMORE, MD 21229

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 Tajudeen Omodeoye's NPI number?

The NPI number for Tajudeen Omodeoye is 1356817373. It was assigned to this individual provider in the NPPES registry on October 17, 2018.

Where is Tajudeen Omodeoye located?

Tajudeen Omodeoye practices at 5411 Old Frederick Rd Ste 8, Baltimore, MD 21229. The listed phone number is (443) 315-5007.

What is Tajudeen Omodeoye's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Tajudeen Omodeoye enrolled in Medicare?

Yes. Tajudeen Omodeoye 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 Tajudeen Omodeoye's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tajudeen Omodeoye reassigns Medicare benefits to 3 organizations: National Pike Health Center (Baltimore, MD), Titomo Healthcare Services LLC (Hanover, MD) and Della Behavioral Health Services (Columbia, MD). 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 Tajudeen Omodeoye's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tajudeen Omodeoye was last updated on January 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.