MARY OLUBUNMI FAKOREDE MD
NPI 1922569714
Family Medicine - Addiction Medicine in Baltimore, MD

Active since March 26, 2019PECOS EnrolledAccepts Medicare Assignment
5200 EASTERN AVE FL W2, BALTIMORE, MD 21224(410) 550-2999 Get Directions Write a Review

NPPES record last updated: July 27, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Olubunmi Fakorede Md NPPES

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

MARY OLUBUNMI FAKOREDE MD (NPI 1922569714) is an individual addiction medicine provider in Baltimore, Maryland, licensed in Maryland (D0093734) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1922569714
Entity TypeIndividualFemale
Primary Taxonomy207QA0401X
Provider Legal NameMARY OLUBUNMI FAKOREDECredential: MD
Location Address5200 EASTERN AVE FL W2Baltimore, MD 21224-2757
Mailing Address5200 Eastern Ave Fl W2Baltimore, MD 21224-2757 · (410) 550-2999
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateMarch 26, 2019
Last NPPES UpdateJuly 27, 2022
NPPES CertifiedJuly 27, 2022
NPI 1922569714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
License Licensed in MD · D0093734
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
Also ListedFamily MedicineTaxonomy 207Q00000X · License D0093734 (MD)
5200 EASTERN AVE FL W2, Baltimore, MD 21224

Secondary Practice Locations 2

Location 12041 Georgia Ave NWWashington, DC 20060-0001 · Phone (202) 865-6100
Location 28105 Ritchie HwyPasadena, MD 21122-3905 · Phone (443) 573-0564

Accepted Insurance

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

Mary Olubunmi Fakorede 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.

PECOS PAC ID8123405693
PECOS Enrollment IDI20220809003394
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21224 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
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.

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 Mary Fakorede's NPI number?

The NPI number for Mary Fakorede is 1922569714. It was assigned to this individual provider in the NPPES registry on March 26, 2019.

Where is Mary Fakorede located?

Mary Fakorede practices at 5200 Eastern Ave Fl W2, Baltimore, MD 21224. The listed phone number is (410) 550-2999.

What is Mary Fakorede's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Is Mary Fakorede enrolled in Medicare?

Yes. Mary Fakorede 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.

What insurance does Mary Fakorede accept?

Health plans from Blue Cross and Blue Shield of Texas list Mary Fakorede 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.

When was this NPI record last updated?

The NPPES record for Mary Fakorede was last updated on July 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.