DR. OLUWAKEMI OGUNSAN (M.D.) – Internal Medicine Physician, NPI 1104054196

Internal Medicine Physician

DR. OLUWAKEMI OGUNSAN (M.D.) is a healthcare provider. based in Glen burnie, Maryland. specializing in Internal Medicine Physician. They hold the professional credentials M.D.. They hold a License No. D74664 (MD). The NPI Number for DR. OLUWAKEMI OGUNSAN (M.D.) is 1104054196

Main info

Female

33 Years Of Experience

Accepts Medicare Assignment

Name

DR. OLUWAKEMI OGUNSAN (M.D.)

NPI

1104054196

Phone

(410) 787-4000

Address

301 HOSPITAL DR

Enumeration Date

29 June 2009

Last Update Date

23 April 2020

Doctor Profile

Medical School Name

OTHER

Secondary Phone

4107874924

Graduation Year

1993 (33 years ago)

PAC ID

9335463538

Group Practice PAC ID

3678472214

Professional Enrollment ID

I20150116001370

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience61

Completeness75

Years active:16State licenses:1Digital endpointsOther names

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Provider Addresses for DR. OLUWAKEMI OGUNSAN (M.D.)

Baltimore Washington Medical Center, 301, Hospital Drive, Dundee, Anne Arundel County, Maryland, 21061, United States
GLEN BURNIE, MD 210615803
Phone: (410) 787-4000
Type: Location
14601, Newlyn Place, Bentley Park, Laurel, Prince George's County, Maryland, 20707, United States
LAUREL, MD 207073119
Phone: (240) 460-7500
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 21061)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 3678472214View full group profile

Name	Specialty	State
DR. BRIAN THOMAS CALLAHAN (M.D.)	Diagnostic Radiology, Interventional Radiology	TX
MRS. THERESA EILEEN DEVEAUX (CRNP)	-	MD
MARIANNE R CUNANAN-BUSH (MD)	-	MD
DR. CHARITY E DUGAN (D.O.)	General Surgery	MD
DR. CAROLYN R HELMLY (M.D.)	-	MD
DAVID ALAN LEVY (MD)	U R O L O G Y	OH
MOHAMMAD WALID KAMSHEH (M.D.)	N E U R O L O G Y	MD
OLIVIA DOLLER (AU.D.)	Qualified Audiologist	MD
DR. TABITHA PERRY-FARMAKIS (M.D.)	-	MD
DR. DEVONNE ELICIA HURST (DNP, CRNP, AG-ACNP,)	Nurse Practitioner	MD

Reviews

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Frequently asked questions

What is the registry number for DR. OLUWAKEMI OGUNSAN (M.D.)?

The registry entry for DR. OLUWAKEMI OGUNSAN (M.D.) shows NPI 1104054196.

Should I treat DR. OLUWAKEMI OGUNSAN (M.D.) as an active provider?

Patients and plans typically see DR. OLUWAKEMI OGUNSAN (M.D.) as active in the national extract.

What services align with DR. OLUWAKEMI OGUNSAN (M.D.)'s listing?

DR. OLUWAKEMI OGUNSAN (M.D.)'s public classification highlights Internal Medicine Physician. Clinical services aligned with this taxonomy classification.

What city is tied to DR. OLUWAKEMI OGUNSAN (M.D.)?

The directory associates DR. OLUWAKEMI OGUNSAN (M.D.) with Glen Burnie, Maryland. Check all listed addresses for suites or satellite offices.

Who maintains DR. OLUWAKEMI OGUNSAN (M.D.)'s record?

Providers certify NPPES data; CMS hosts the public file you are viewing.