Physician Compare National (NPI:1265925580)

HEALTHCARE PROVIDER: MOTUNRAYO DIPEOLU CRNP-FAMILY

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1265925580
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2365793015
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20180919004040
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DIPEOLU
	Individual professional last name
Provider First Name	MOTUNRAYO
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2013
	Individual professional's medical school graduation year
Primary Specialty	NURSE PRACTITIONER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	BALTIMORE MEDICAL SYSTEM, INC.
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	5395653455
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	40
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	3501 SINCLAIR LN
	Group Practice or individual's line 1 address
City	BALTIMORE
	Group Practice or individual's city
State	MD
	Group Practice or individual's state
Zip Code	212132029
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4105584890
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y