DR. IFEOLUWA Y OMITOWOJU MD
NPI 1629068903
Pediatrics in Halethorpe, MD

Active since October 26, 2005PECOS EnrolledAccepts Medicare Assignment
1701 TWIN SPRINGS RD, KAISER PERMANENTE SOUTH BALTIMORE COUNTY HUB, HALETHORPE, MD 21227(410) 737-5000 Get Directions Write a Review

NPPES record last updated: June 25, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1629068903
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. IFEOLUWA Y OMITOWOJUCredential: MD
Location Address1701 TWIN SPRINGS RD, KAISER PERMANENTE SOUTH BALTIMORE COUNTY HUBHalethorpe, MD 21227-3553
Mailing Address2101 E Jefferson St, Kaiser Permanente Medicare EnrollmentRockville, MD 20852-4908 · (301) 816-2424
Sole ProprietorNo
Medical School CMSClvlnd Clinic Lerner College Of Med Of Case Wstn Rsv UniversityGraduated 1998
Enumeration DateOctober 26, 2005
Last NPPES UpdateJune 25, 2021
NPPES CertifiedJune 25, 2021
NPI 1629068903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in MD · D0059049
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1701 TWIN SPRINGS RD, Halethorpe, MD 21227

Other Names 1

Former Name (1)Ifeoluwa Y Fadeyi

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

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.

PECOS PAC ID840206942
PECOS Enrollment IDI20120709000091
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 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.

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 20

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

Family Medicine
1701 TWIN SPRINGS RD
HALETHORPE, MD 21227
Family Medicine (Geriatric Medicine)
1701 TWIN SPRINGS RD
HALETHORPE, MD 21227
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1701 TWIN SPRINGS RD
HALETHORPE, MD 21227
Physical Medicine & Rehabilitation
1701 TWIN SPRINGS RD
HALETHORPE, MD 21227
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1701 TWIN SPRINGS RD, KAISER PERMANENTE SOUTH BALTIMORE COUNTY MEDICAL CENTER
HALETHORPE, MD 21227
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1701 TWIN SPRINGS RD
HALETHORPE, MD 21227
Internal Medicine
1701 TWIN SPRINGS RD
HALETHORPE, MD 21227
Pharmacist
1701 TWIN SPRINGS RD
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.

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.