MODUPE OYINDAMOLA LASISI MBCHB, MPH
NPI 1538912928
Student in an Organized Health Care Education/Training Program in Baltimore, MD

Active since April 08, 2024PECOS Enrolled
201 E UNIVERSITY PKWY, BALTIMORE, MD 21218(410) 554-2284 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Modupe Oyindamola Lasisi Mbchb, Mph NPPES

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

MODUPE OYINDAMOLA LASISI MBCHB, MPH (NPI 1538912928) is an individual student in an organized health care education/training program in Baltimore, Maryland and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538912928
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMODUPE OYINDAMOLA LASISICredential: MBCHB, MPH
Location Address201 E UNIVERSITY PKWYBaltimore, MD 21218-2829
Mailing Address201 E University PkwyBaltimore, MD 21218-2829
Sole ProprietorNo
Enumeration DateApril 8, 2024
Last NPPES UpdateJuly 29, 2025
NPPES CertifiedJuly 29, 2025
NPI 1538912928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
201 E UNIVERSITY PKWY, Baltimore, MD 21218

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Modupe Oyindamola Lasisi Mbchb, Mph 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.

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.

Internal Medicine
201 E UNIVERSITY PKWY
BALTIMORE, MD 21218
Nurse Practitioner (Family)
201 E UNIVERSITY PKWY
BALTIMORE, MD 21218
Student in an Organized Health Care Education/Training Program
201 E UNIVERSITY PKWY
BALTIMORE, MD 21218
Internal Medicine (Cardiovascular Disease)
201 E UNIVERSITY PKWY
BALTIMORE, MD 21218
Student in an Organized Health Care Education/Training Program
201 E UNIVERSITY PKWY
BALTIMORE, MD 21218
Internal Medicine (Infectious Disease)
201 E UNIVERSITY PKWY, DEPT OF MEDICINE MEDSTAR UNION MEMORIAL HOSPITAL
BALTIMORE, MD 21218
Student in an Organized Health Care Education/Training Program
201 E UNIVERSITY PKWY, DEPT. OF SURGERY
BALTIMORE, MD 21218
Orthopaedic Surgery
201 E UNIVERSITY PKWY, DEPARTMENT OF ORTHOPAEDIC SURGERY
BALTIMORE, MD 21218

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 Modupe Lasisi's NPI number?

The NPI number for Modupe Lasisi is 1538912928. It was assigned to this individual provider in the NPPES registry on April 8, 2024.

Where is Modupe Lasisi located?

Modupe Lasisi practices at 201 E University Pkwy, Baltimore, MD 21218. The listed phone number is (410) 554-2284.

What is Modupe Lasisi's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Modupe Lasisi enrolled in Medicare?

Yes. Modupe Lasisi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Modupe Lasisi was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.