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OYINDAMOLA ABIMBOLA OMIJE MD
NPI 1386806636
Psychiatry & Neurology - Child & Adolescent Psychiatry in Lebanon, PA

Active since June 27, 2008PECOS Enrolled
283 S BUTLER RD, LEBANON, PA 17042(717) 273-8871(717) 270-2429 Get Directions Write a Review

NPPES record last updated: August 8, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 8, 2024, Dec 14, 2022, Dec 18, 2019 (3 updates tracked since 2019).

About Oyindamola Abimbola Omije Md NPPES

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

OYINDAMOLA ABIMBOLA OMIJE MD (NPI 1386806636) is an individual child & adolescent psychiatry provider in Lebanon, Pennsylvania, licensed in Pennsylvania (MD447848) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1386806636
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameOYINDAMOLA ABIMBOLA OMIJECredential: MD
Location Address283 S BUTLER RDLebanon, PA 17042-8939
Mailing Address601 Memory LnYork, PA 17402-2231 · (717) 851-1405 · Fax (717) 851-6969
Phone(717) 273-8871
Fax(717) 270-2429
Sole ProprietorNo
Enumeration DateJune 27, 2008
Last NPPES UpdateAugust 8, 20243 updates tracked since enumeration
NPPES CertifiedAugust 8, 2024
✔ NPI 1386806636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in PA · MD447848
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License MD447848 (PA)
283 S BUTLER RD, Lebanon, PA 17042
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Other Names 1

Former Name (1)Oyindamola Abimbola Amao M.d

Secondary Practice Locations 6

Location 1252 S 4th StLebanon, PA 17042-6111 · Phone (717) 821-8017 · Fax (717) 270-2401
Location 2169 Martin AveEphrata, PA 17522-1734 · Phone (717) 733-0311
Location 31001 S George StYork, PA 17403-3676 · Phone (717) 851-2304
Location 4147 Gettys StGettysburg, PA 17325-2534 · Phone (717) 334-2121
Location 5112 N 7th StChambersburg, PA 17201-1720 · Phone (717) 267-7771
Location 6501 E Main StWaynesboro, PA 17268-2353 · Phone (717) 765-4000

Other Identifiers 2

OtherMD447848PA · State License
Medicaid102872758PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Oyindamola Abimbola Omije Md 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Oyindamola Omije reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Philhaven
Same address
Psychiatry
283 S BUTLER RD
Lebanon, PA 17042
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 139 clinicians in this Medicare group
NPI 1043316441 (717) 270-2443
Wellspan Medical Group
2.0 mi
Family Medicine
101 FAIRVIEW CIR
Lebanon, PA 17042
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3,080 clinicians in this Medicare group
NPI 1639620164 (717) 279-7303

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

MRS. ALINA N GLAZUNOVA CRNP
Nurse Practitioner
283 S BUTLER RD
LEBANON, PA 17042
Lebanon County (717) 273-8871
PHILHAVEN
Psychiatry & Neurology (Psychiatry)
283 S BUTLER RD
LEBANON, PA 17042
Lebanon County (717) 270-2443
MS. TERRIE LYNN FAKE RN, BSN
Registered Nurse (Psychiatric/Mental Health)
283 S BUTLER RD
LEBANON, PA 17042
Lebanon County (717) 273-8871
DAVID KRAUSS BACHELORS
Counselor (Mental Health)
283 S BUTLER RD
LEBANON, PA 17042
Lebanon County (717) 273-8871
MELANIE A BAER PSY D
Psychologist
283 S BUTLER RD
LEBANON, PA 17042
Lebanon County (717) 273-8871
KATIE HARPER BARLUP LSW
Social Worker
283 S BUTLER RD
LEBANON, PA 17042
Lebanon County (717) 273-8871
PHILIP D RODENBERGER MD
Psychiatry & Neurology (Psychiatry)
283 S BUTLER RD
LEBANON, PA 17042
Lebanon County (717) 273-8871
THOMAS L FENSTERMACHER MD
Psychiatry & Neurology (Psychiatry)
283 S BUTLER RD
LEBANON, PA 17042
Lebanon County (717) 273-8871

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 Oyindamola Omije's NPI number?

The NPI number for Oyindamola Omije is 1386806636. It was assigned to this individual provider in the NPPES registry on June 27, 2008. The provider is also known as Oyindamola Abimbola Amao M.D.

Where is Oyindamola Omije located?

Oyindamola Omije practices at 283 S Butler Rd, Lebanon, PA 17042. The listed phone number is (717) 273-8871.

What is Oyindamola Omije's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Oyindamola Omije enrolled in Medicare?

Yes. Oyindamola Omije is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Oyindamola Omije's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Oyindamola Omije reassigns Medicare benefits to 2 organizations: Philhaven (Lebanon, PA) and Wellspan Medical Group (Lebanon, PA). 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 Oyindamola Omije'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 Oyindamola Omije was last updated on August 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.