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IDOWU AWOLUSI
NPI 1669036836
Nurse Practitioner - Family in Baltimore, MD

Active since April 23, 2019PECOS EnrolledAccepts Medicare Assignment
2200 KERNAN DR, BALTIMORE, MD 21207(443) 977-0313 Get Directions Write a Review

NPPES record last updated: March 14, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 14, 2023, Apr 23, 2019 (2 updates tracked since 2019).

About Idowu Awolusi NPPES

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

IDOWU AWOLUSI (NPI 1669036836) is an individual family provider in Baltimore, Maryland, licensed in Maryland (R168616) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1669036836
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameIDOWU AWOLUSI
Location Address2200 KERNAN DRBaltimore, MD 21207-6665
Mailing Address3969 Whispering Meadow DrRandallstown, MD 21133-4342 · (443) 977-0313
Phone(443) 977-0313
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateApril 23, 2019
Last NPPES UpdateMarch 14, 20232 updates tracked since enumeration
NPPES CertifiedMarch 14, 2023
✔ NPI 1669036836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in MD · R168616✔ Licensed in MD · F04190184
2200 KERNAN DR, Baltimore, MD 21207
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Idowu Awolusi 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 ID3375979776
PECOS Enrollment IDI20200203002137
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
914 services119 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
473 services114 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
108 services64 patients
Assessment of and care planning for patient with impaired thought processing, typically 60 minutes 99483
This service involves a thorough evaluation of your thought processes, which may be impacting your daily life. In a typical 50-minute session, a healthcare professional will assess your cognitive abilities, identify any areas of concern, and develop a personalized care plan to help improve your mental function.
90 services60 patients
Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345
A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.
37 services37 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21207 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.

KIMBERLY ANN CARDOSA
Physical Therapist
2200 KERNAN DR
BALTIMORE, MD 21207
Baltimore City (410) 448-6323
MRS. CECILIA MAHLE MS, OTR/L CBIS
Occupational Therapist
2200 KERNAN DR
GWYNN OAK, MD 21207
Baltimore City (410) 448-6302
UNIVERSITY OF MARYLAND ORTHOPAEDIC TRAUMA ASSOCIATES, PA
Orthopaedic Surgery
2200 KERNAN DR
BALTIMORE, MD 21207
Baltimore City (410) 448-6400
EARLE MILTON SCHULZ D.D.S.
Dentist (Pediatric Dentistry)
2200 KERNAN DR
BALTIMORE, MD 21207
Baltimore City (410) 448-6290
MS. BARBARA B BRUNK PA-C
Physician Assistant (Surgical)
2200 KERNAN DR
BALTIMORE, MD 21207
Baltimore City (410) 448-6719
MS. AMBER MICHELLE WEATHERS MS, OTR/L
Occupational Therapist
2200 KERNAN DR
BALTIMORE, MD 21207
Baltimore City (410) 448-2500
KATHLEEN LORETTA EGLSEDER
Occupational Therapist
2200 KERNAN DR
BALTIMORE, MD 21207
Baltimore City (410) 448-6323
UNIV OF MARYLAND OTORHINOLARYNGOLOGY HEAD & NECK SURGERY PA
Specialist
2200 KERNAN DR
BALTIMORE, MD 21207
Baltimore City (410) 328-6897

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 Idowu Awolusi's NPI number?

The NPI number for Idowu Awolusi is 1669036836. It was assigned to this individual provider in the NPPES registry on April 23, 2019.

Where is Idowu Awolusi located?

Idowu Awolusi practices at 2200 Kernan Dr, Baltimore, MD 21207. The listed phone number is (443) 977-0313.

What is Idowu Awolusi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Idowu Awolusi enrolled in Medicare?

Yes. Idowu Awolusi 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 Idowu Awolusi was last updated on March 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.