FAIRWOOD INTERNAL MEDICINE
NPI 1396986873
Internal Medicine in Glenn Dale, MD
About Fairwood Internal Medicine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAIRWOOD INTERNAL MEDICINE (NPI 1396986873) is a healthcare organization registered as an internal medicine in Glenn Dale, Maryland and active in the NPI registry since March 2009. The organization lists Okeowo Darcy Ibitoye, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Fairwood Internal Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Fairwood Internal Medicine, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Fairwood Internal Medicine's NPI number?
The NPI number for Fairwood Internal Medicine is 1396986873. It was assigned to this organization in the NPPES registry on March 13, 2009.
Where is Fairwood Internal Medicine located?
Fairwood Internal Medicine is located at 12200 Annapolis Rd Suite 232, Glenn Dale, MD 20769. The listed phone number is (240) 245-4414.
What is Fairwood Internal Medicine's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Fairwood Internal Medicine enrolled in Medicare?
Yes. Fairwood Internal Medicine is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Fairwood Internal Medicine?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Fairwood Internal Medicine. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Fairwood Internal Medicine was last updated on July 21, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.