OLUKEMI ROSELINE OMOGOKE MD
NPI 1801365689
Nurse Practitioner - Psychiatric/Mental Health in Severna Park, MD
About Olukemi Roseline Omogoke Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OLUKEMI ROSELINE OMOGOKE MD (NPI 1801365689) is an individual psychiatric/mental health provider in Severna Park, Maryland, licensed in Maryland (R207593) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
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
Olukemi Roseline Omogoke 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 Reassignments
5Medicare enrollment records show Olukemi Omogoke reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Baltimore, MD 21224
- Reassigned Medicare billing, Maryland enrollment
Bowie, MD 20720
- Reassigned Medicare billing, District of Columbia enrollment
- 2 clinicians in this Medicare group
Columbia, MD 21045
- Reassigned Medicare billing, Maryland enrollment
- 29 clinicians in this Medicare group
Washington, DC 20016
- Reassigned Medicare billing, District of Columbia enrollment
- 56 clinicians in this Medicare group
Miami, FL 33130
- Reassigned Medicare billing, District of Columbia enrollment
- 1,424 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.
Areas of Expertise CMS Part B claims
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21146 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SEVERNA PARK, MD 21146
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 Olukemi Omogoke's NPI number?
The NPI number for Olukemi Omogoke is 1801365689. It was assigned to this individual provider in the NPPES registry on November 21, 2018.
Where is Olukemi Omogoke located?
Olukemi Omogoke practices at 650 Ritchie Hwy Ste 207, Severna Park, MD 21146. The listed phone number is (410) 315-9350.
What is Olukemi Omogoke's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Olukemi Omogoke enrolled in Medicare?
Yes. Olukemi Omogoke 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 organizations bill Medicare for Olukemi Omogoke's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Olukemi Omogoke reassigns Medicare benefits to 5 organizations: Royal Minds Inc. (Baltimore, MD), Zenith Psychiatric & Mental Health Services (Bowie, MD), Optum Behavioral Care Of North Carolina, PC (Columbia, MD), Wisconsin Ave Psychiatric Center Inc (Washington, DC) and Grow Healthcare Group PA (Miami, FL). Each 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 Olukemi Omogoke'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 Olukemi Omogoke was last updated on March 26, 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.
# Olukemi Roseline Omogoke, MD · NPI 1801365689
Psychiatric/Mental Health physician in Severna Park, Maryland. Individual provider, active in the CMS NPPES registry since November 21, 2018.
## Identity
- **NPI:** 1801365689 (Entity type: Individual)
- **Enumerated:** November 21, 2018
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** R207593 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 650 RITCHIE HWY STE 207, Severna Park, MD 21146-3935
- **Phone:** (410) 315-9350 · **Fax:** (410) 421-9135
## 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:** 5 organizations under Medicare reassignment (form CMS-855R): Royal Minds Inc. (NPI 1659934503, Baltimore, MD); Zenith Psychiatric & Mental Health Services (NPI 1144941766, Bowie, MD); Optum Behavioral Care Of North Carolina, PC (NPI 1518732833, Columbia, MD); Wisconsin Ave Psychiatric Center Inc (NPI 1871549949, Washington, DC); Grow Healthcare Group PA (NPI 1245845932, Miami, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** March 26, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1801365689) · Data from the CMS NPPES public registry.