DR. MODUPEOLUWA OWOLABI MD
NPI 1891360525
Internal Medicine in Dayton, OH

Q: What is Modupeoluwa Owolabi's NPI number?

The NPI number for Modupeoluwa Owolabi is 1891360525. It was assigned to this individual provider in the NPPES registry on May 25, 2021.

Q: What is Modupeoluwa Owolabi's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since May 25, 2021PECOS Enrolled

30 E APPLE ST STE 6221, DAYTON, OH 45409(937) 208-6630(937) 208-6641 Get Directions Write a Review

NPPES record last updated: August 11, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 11, 2026, May 2, 2026, May 25, 2021 (3 updates tracked since 2021).

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About Dr. Modupeoluwa Owolabi Md NPPES

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

DR. MODUPEOLUWA OWOLABI MD (NPI 1891360525) is an individual internal medicine provider in Dayton, Ohio, licensed in New York (331026-01) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, is affiliated with Nyu Langone Hospitals, and maintains a secondary practice location in Newark.

NPPES Registry Identity

NPI1891360525

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. MODUPEOLUWA OWOLABICredential: MD

Location Address30 E APPLE ST STE 6221Dayton, OH 45409-2939

Mailing Address3170 Kettering Blvd Bldg B2ndMoraine, OH 45439-1924

Phone(937) 208-6630

Fax(937) 208-6641

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateMay 25, 2021

Last NPPES UpdateAugust 11, 20263 updates tracked since enumeration

NPPES CertifiedAugust 11, 2026

✔ NPI 1891360525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NY · 331026-01

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

30 E APPLE ST STE 6221, Dayton, OH 45409

Open in Google Maps ↗

Secondary Practice Location 1

Location 1111 Central AveNewark, NJ 07102-1909 · Phone (678) 849-4198

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Modupeoluwa Owolabi Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9638636442

PECOS Enrollment IDI20260811003382

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.

Medicare Billing Reassignment

Medicare enrollment records show Modupeoluwa Owolabi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Premier Health Specialists Inc

Same address

Surgery

30 E APPLE ST, STE 6258
Dayton, OH 45409

Reassigned Medicare billing, Ohio enrollment
812 clinicians in this Medicare group

NPI 1043263643 (937) 208-5300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330214

Location550 First AvenueNew York, NY 10016 · New York County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45409 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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 4

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

TRISTIN LEIGH STEPHENS

Nurse Practitioner (Family)

30 E APPLE ST STE 6221
DAYTON, OH 45409

Montgomery County (937) 208-6630

NAJMUS SAHAR M.D

Internal Medicine (Infectious Disease)

30 E APPLE ST STE 6221
DAYTON, OH 45409

Montgomery County (937) 208-6630

DR. JONATHAN G. POPE M.D.

Internal Medicine (Infectious Disease)

30 E APPLE ST STE 6221
DAYTON, OH 45409

Montgomery County (937) 208-6630

WILLIAM GRANT STARRETT MD

Internal Medicine (Infectious Disease)

30 E APPLE ST STE 6221
DAYTON, OH 45409

Montgomery County (937) 208-6630

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 Modupeoluwa Owolabi's NPI number?

The NPI number for Modupeoluwa Owolabi is 1891360525. It was assigned to this individual provider in the NPPES registry on May 25, 2021.

Where is Modupeoluwa Owolabi located?

Modupeoluwa Owolabi practices at 30 E Apple St Ste 6221, Dayton, OH 45409. The listed phone number is (937) 208-6630.

What is Modupeoluwa Owolabi's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Modupeoluwa Owolabi enrolled in Medicare?

Yes. Modupeoluwa Owolabi is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Modupeoluwa Owolabi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Modupeoluwa Owolabi reassigns Medicare benefits to Premier Health Specialists Inc (Dayton, OH). The 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 Modupeoluwa Owolabi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Modupeoluwa Owolabi accept?

Health plans from CareSource list Modupeoluwa Owolabi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Modupeoluwa Owolabi affiliated with any hospitals?

According to CMS data, Modupeoluwa Owolabi is affiliated with Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for Modupeoluwa Owolabi was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.