DR. IFEOLUWA Y OMITOWOJU MD
NPI 1629068903
Pediatrics in Halethorpe, MD
About Dr. Ifeoluwa Y Omitowoju Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. IFEOLUWA Y OMITOWOJU MD (NPI 1629068903) is an individual pediatrics provider in Halethorpe, Maryland, licensed in Maryland (D0059049) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS and is a graduate of Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University (1998).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Dr. Ifeoluwa Y Omitowoju Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Ifeoluwa Omitowoju reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Halethorpe, MD 21227
- Reassigned Medicare billing, Maryland and District of Columbia enrollments
- Also billed through NPI 1952461816 (District of Columbia), NPI 1366781700 (District of Columbia), NPI 1578638425 (District of Columbia), NPI 1497023188 (District of Columbia), NPI 1073678637 (District of Columbia)
- 1,253 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 21227 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
HALETHORPE, MD 21227
HALETHORPE, MD 21227
HALETHORPE, MD 21227
HALETHORPE, MD 21227
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 Ifeoluwa Omitowoju's NPI number?
The NPI number for Ifeoluwa Omitowoju is 1629068903. It was assigned to this individual provider in the NPPES registry on October 26, 2005. The provider is also known as Ifeoluwa Y Fadeyi.
Where is Ifeoluwa Omitowoju located?
Ifeoluwa Omitowoju practices at 1701 Twin Springs Rd Kaiser Permanente South Baltimore County Hub, Halethorpe, MD 21227. The listed phone number is (410) 737-5000.
What is Ifeoluwa Omitowoju's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Ifeoluwa Omitowoju enrolled in Medicare?
Yes. Ifeoluwa Omitowoju 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 organization bills Medicare for Ifeoluwa Omitowoju's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ifeoluwa Omitowoju reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Halethorpe, MD). The 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 Ifeoluwa Omitowoju'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 Ifeoluwa Omitowoju was last updated on June 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Ifeoluwa Y Omitowoju, MD · NPI 1629068903
Pediatrics physician in Halethorpe, Maryland. Individual provider, active in the CMS NPPES registry since October 26, 2005.
## Identity
- **NPI:** 1629068903 (Entity type: Individual)
- **Enumerated:** October 26, 2005
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** D0059049 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 1701 TWIN SPRINGS RD, KAISER PERMANENTE SOUTH BALTIMORE COUNTY HUB, Halethorpe, MD 21227-3553
- **Phone:** (410) 737-5000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (NPI 1417294984, Halethorpe, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University, class of 1998
## Record status
- **NPPES last updated:** June 25, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1629068903) · Data from the CMS NPPES public registry.