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OLUMUYIWA OJEDIRAN, M.D P.C
NPI 1659552156
Internal Medicine - Adolescent Medicine in Petersburg, VA

Active since November 26, 2007
734 S SYCAMORE ST, PETERSBURG, VA 23803(804) 733-0111(804) 733-1176 Get Directions Write a Review

NPPES record last updated: November 26, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Olumuyiwa Ojediran, M.d P.c NPPES

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

OLUMUYIWA OJEDIRAN, M.D P.C (NPI 1659552156) is a healthcare organization registered as an adolescent medicine in Petersburg, Virginia and active in the NPI registry since November 2007. The organization lists Olumuyiwa Akinniyi Ojediran, President, as its authorized official.

NPPES Registry Identity

NPI1659552156
Entity TypeOrganization
Primary Taxonomy207RA0000X
Legal Business NameOLUMUYIWA OJEDIRAN, M.D P.C
Location Address734 S SYCAMORE STPetersburg, VA 23803-5817
Mailing Address734 S Sycamore StPetersburg, VA 23803-5817 · (804) 733-0111 · Fax (804) 733-1176
Phone(804) 733-0111
Fax(804) 733-1176
Organization SubpartNo
Authorized OfficialOlumuyiwa Akinniyi OjediranPresident · (804) 733-0111
Enumeration DateNovember 26, 2007
✔ NPI 1659552156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0000X
License✔ Licensed in VA · 0101233648
Definition
An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
734 S SYCAMORE ST, Petersburg, VA 23803
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINH90675VA
Medicare PINCO8771VA
Other465753VA · Blue Cross

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Olumuyiwa Ojediran, M.d P.c 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 Olumuyiwa Ojediran, M.D P.C, which bills Medicare for the services this clinician delivers.

Clinician (1)

Olymuyiwa Ojediran, MD
Internal Medicine
NPI 1679594030
734 SOUTH SYCAMORE STREET
Petersburg, VA 23803
(804) 733-0111
✔ PECOS✔ Accepts MedicareSame address

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 Olumuyiwa Ojediran, M.D P.C's NPI number?

The NPI number for Olumuyiwa Ojediran, M.D P.C is 1659552156. It was assigned to this organization in the NPPES registry on November 26, 2007.

Where is Olumuyiwa Ojediran, M.D P.C located?

Olumuyiwa Ojediran, M.D P.C is located at 734 S Sycamore St, Petersburg, VA 23803. The listed phone number is (804) 733-0111.

What is Olumuyiwa Ojediran, M.D P.C's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Adolescent Medicine, with taxonomy code 207RA0000X.

Is Olumuyiwa Ojediran, M.D P.C enrolled in Medicare?

Yes. Olumuyiwa Ojediran, M.D P.C is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Olumuyiwa Ojediran, M.D P.C?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Olumuyiwa Ojediran, M.D P.C. 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 Olumuyiwa Ojediran, M.D P.C was last updated on November 26, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.