Olusegun Obafemi Owotomo, MD - Medicare Pediatrics in Baltimore, MD

Olusegun Obafemi Owotomo, MD is a medicare enrolled "Pediatrics" physician in Baltimore, Maryland. His current practice location is 200 N Wolfe St Ste 3075, Baltimore, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 955-2035.

Olusegun Obafemi Owotomo is licensed to practice in Maryland (license number D0093346) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1184184608.

Contact Information

Olusegun Obafemi Owotomo, MD
200 N Wolfe St Ste 3075,
Baltimore, MD 21287-0011
(410) 955-2035
(410) 955-1030

Map and Direction




Physician's Profile

Full NameOlusegun Obafemi Owotomo
GenderMale
SpecialityPediatrics
Location200 N Wolfe St Ste 3075, Baltimore, Maryland
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1184184608
  • Provider Enumeration Date: 03/21/2019
  • Last Update Date: 11/16/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5799129888
  • Enrollment ID: I20240216001279

Medical Identifiers

Medical identifiers for Olusegun Obafemi Owotomo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184184608NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics D0093346 (Maryland)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Olusegun Obafemi Owotomo allows following entities to bill medicare on his behalf.
Entity NameUniversity Of Maryland Community Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477530624
PECOS PAC ID: 3678472214
Enrollment ID: O20040102000687

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Olusegun Obafemi Owotomo is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Olusegun Obafemi Owotomo, MD
200 N Wolfe St Ste 3075,
Baltimore, MD 21287-0011

Ph: (410) 955-2035
Olusegun Obafemi Owotomo, MD
200 N Wolfe St Ste 3075,
Baltimore, MD 21287-0011

Ph: (410) 955-2035

Reviews and Comments


Pediatrics Doctors in Baltimore, MD

Hilary Tamara Wolf, MD
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Dr. Carmel Bogle, M.D.
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Anna Eunjoo Choe,
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Dr. Melissa Lauren Shapiro, M.D.
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Dr. Alexander James Jaksic, MD
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Adam J Spanier, M.D.
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Phone: 410-225-8780    Fax: 410-225-8766
Milagritos D Tapia, MD
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Phone: 410-328-6749    Fax: 410-328-6136

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.