Fairwood Internal Medicine
NPI 1396986873ActiveOrganization· Internal Medicine· Glenn Dale, MD
Internal Medicine in Glenn Dale, Maryland, registered in NPPES in March 2009. The authorized official on file is Okeowo Darcy Ibitoye, M.D., Medical Director. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1396986873 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 13, 2009 |
| Last updated in NPPES | Jul 21, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | D0051437 | MD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (DC); Part B Supplier - Clinic/Group Practice (MD) |
|---|
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