Rotimi A Iluyomade, MD is a
Emergency Medicine physician based in Annandale, Virginia. Rotimi A Iluyomade is licensed to practice in Maryland (license number D0042228) and his current practice location is 6922 Little River Tpke Ste D, Annandale, Virginia. He can be reached at his office (for appointments etc.) via phone at
(703) 705-9306.
NPI number for Rotimi A Iluyomade is 1043298615 and his current mailing address is 900 Hospital Dr, Madisonville, Kentucky. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1043298615.
Physician's Profile
| Full Name | Rotimi A Iluyomade |
|---|
| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 6922 Little River Tpke Ste D, Annandale, Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1043298615
- Provider Enumeration Date: 01/04/2006
- Last Update Date: 04/19/2023
Medical Identifiers
Medical identifiers for Rotimi A Iluyomade such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043298615 | NPI | - | NPPES |
| 000000521582 | Other | KY | BCBS |
| 64013972 | Medicaid | KY | |
| 000000805251 | Other | KY | BCBS- BAPTIST HEALTH MADISONVILLE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 0101221294 (Virginia) | Secondary |
| 207P00000X | Emergency Medicine | D0042228 (Maryland) | Primary |
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. Rotimi A Iluyomade is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Rotimi A Iluyomade, MD
900 Hospital Dr,
Madisonville, KY 42431-1644
Ph: (270) 825-5100 | Rotimi A Iluyomade, MD
6922 Little River Tpke Ste D,
Annandale, VA 22003-3285
Ph: (703) 705-9306 |
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