Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

OLUWATOMISIN ELIZABETH OLASIMBO PA-C
NPI 1790507283
Physician Assistant - Medical in Columbia, MD

Active since October 28, 2024PECOS EnrolledAccepts Medicare Assignment
6220 OLD DOBBIN LN STE 200, COLUMBIA, MD 21045(410) 964-5300(410) 964-5300 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Oluwatomisin Elizabeth Olasimbo Pa-c NPPES

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

OLUWATOMISIN ELIZABETH OLASIMBO PA-C (NPI 1790507283) is an individual medical provider in Columbia, Maryland and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1790507283
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameOLUWATOMISIN ELIZABETH OLASIMBOCredential: PA-C
Location Address6220 OLD DOBBIN LN STE 200Columbia, MD 21045-5813
Mailing Address6220 Old Dobbin Ln Ste 200Columbia, MD 21045-5813 · (410) 964-5300
Fax(410) 964-5300
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 28, 2024
Last NPPES UpdateJune 22, 2026
NPPES CertifiedJune 22, 2026
NPI 1790507283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
6220 OLD DOBBIN LN STE 200, Columbia, MD 21045

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

Oluwatomisin Elizabeth Olasimbo Pa-c 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 ID4688199532
PECOS Enrollment IDI20250423001778
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 8

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

Internal Medicine
6220 OLD DOBBIN LN STE 200
COLUMBIA, MD 21045
Nurse Practitioner (Pediatrics)
6220 OLD DOBBIN LN STE 200
COLUMBIA, MD 21045
Physician Assistant
6220 OLD DOBBIN LN STE 200
COLUMBIA, MD 21045
Nurse Practitioner (Family)
6220 OLD DOBBIN LN STE 200
COLUMBIA, MD 21045
Pain Medicine (Interventional Pain Medicine)
6220 OLD DOBBIN LN STE 200
COLUMBIA, MD 21045
Nurse Practitioner (Family)
6220 OLD DOBBIN LN STE 200
COLUMBIA, MD 21045
Dietitian, Registered
6220 OLD DOBBIN LN STE 200
COLUMBIA, MD 21045
Anesthesiology (Pain Medicine)
6220 OLD DOBBIN LN STE 200
COLUMBIA, MD 21045

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 Oluwatomisin Olasimbo's NPI number?

The NPI number for Oluwatomisin Olasimbo is 1790507283. It was assigned to this individual provider in the NPPES registry on October 28, 2024.

Where is Oluwatomisin Olasimbo located?

Oluwatomisin Olasimbo practices at 6220 Old Dobbin Ln Ste 200, Columbia, MD 21045. The listed phone number is (410) 964-5300.

What is Oluwatomisin Olasimbo's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Oluwatomisin Olasimbo enrolled in Medicare?

Yes. Oluwatomisin Olasimbo 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 Oluwatomisin Olasimbo was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 47 days 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.