OLUFISAYO OMOBO NP
NPI 1962284471
Nurse Practitioner - Psychiatric/Mental Health in Washington, DC
About Olufisayo Omobo Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OLUFISAYO OMOBO NP (NPI 1962284471) is an individual psychiatric/mental health provider in Washington, District Of Columbia, licensed in Maryland (R245800) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
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
Olufisayo Omobo Np 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
3Medicare enrollment records show Olufisayo Omobo reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Takoma Park, MD 20912
- Reassigned Medicare billing, District of Columbia enrollment
- 72 clinicians in this Medicare group
Rockville, MD 20850
- Reassigned Medicare billing, District of Columbia, Maryland and Virginia enrollments
- 145 clinicians in this Medicare group
Baltimore, MD 21228
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 2 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20006 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WASHINGTON, DC 20006
WASHINGTON, DC 20006
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 Olufisayo Omobo's NPI number?
The NPI number for Olufisayo Omobo is 1962284471. It was assigned to this individual provider in the NPPES registry on October 18, 2023.
Where is Olufisayo Omobo located?
Olufisayo Omobo practices at 1629 K St NW Ste 300, Washington, DC 20006. The listed phone number is (443) 498-1313.
What is Olufisayo Omobo's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Olufisayo Omobo enrolled in Medicare?
Yes. Olufisayo Omobo 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 Olufisayo Omobo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Olufisayo Omobo reassigns Medicare benefits to 3 organizations: Community Clinic, Inc. (Takoma Park, MD), Comprehensive Primary Care And Associates LLC (Rockville, MD) and Magnify Health LLC (Baltimore, MD). 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 Olufisayo Omobo'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 Olufisayo Omobo was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Olufisayo Omobo, NP · NPI 1962284471
Psychiatric/Mental Health physician in Washington, District of Columbia. Individual provider, active in the CMS NPPES registry since October 18, 2023.
## Identity
- **NPI:** 1962284471 (Entity type: Individual)
- **Enumerated:** October 18, 2023
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** R245800 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1629 K ST NW STE 300, Washington, DC 20006-1631
- **Phone:** (443) 498-1313
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Community Clinic, Inc. (NPI 1790730281, Takoma Park, MD); Comprehensive Primary Care And Associates LLC (NPI 1831492586, Rockville, MD); Magnify Health LLC (NPI 1720891252, Baltimore, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** May 4, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1962284471) · Data from the CMS NPPES public registry.