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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: August 02, 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
Phone(443) 315-5007
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
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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

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.

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.

CREATED FOR GREATER HEALTH SYSTEMS
Community/Behavioral Health
5411 OLD FREDERICK RD STE 8
BALTIMORE, MD 21229
Baltimore City (443) 315-5007
CREATED FOR GREATER PSYCHIATRIC REHABILITATION PROGRAM
Community/Behavioral Health
5411 OLD FREDERICK RD STE 8
BALTIMORE, MD 21229
Baltimore City (443) 315-5007
LAKIA THOMPSON LCSW-C
Social Worker (Clinical)
5411 OLD FREDERICK RD STE 8
BALTIMORE, MD 21229
Baltimore City (443) 315-5007

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.

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.