Fairwood Internal Medicine
NPI 1396986873 · Internal Medicine Physician · Glenn Dale, MD
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fairwood Internal Medicine is a Internal Medicine Physician organization in Glenn Dale, MD (NPI 1396986873).
Provider details
- NPI number
- 1396986873
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Okeowo Ibitoye, Medical Director(240) 245-4414
- License
- D0051437 (MD)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-03-13
- Last updated
- 2009-07-21
Frequently asked questions
- What is Fairwood Internal Medicine's NPI number?
- Fairwood Internal Medicine's National Provider Identifier (NPI) is 1396986873, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fairwood Internal Medicine?
- Fairwood Internal Medicine is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Fairwood Internal Medicine located?
- Fairwood Internal Medicine's practice location on file with NPPES is 12200 Annapolis Rd, Glenn Dale, MD 20769-9180.
- What is Fairwood Internal Medicine's phone number?
- The practice phone number listed in the NPPES registry for Fairwood Internal Medicine is (240) 245-4414.
- Does Fairwood Internal Medicine accept Medicare?
- Fairwood Internal Medicine is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Fairwood Internal Medicine?
- The authorized official listed on Fairwood Internal Medicine's NPPES record is Okeowo Ibitoye, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fairwood Internal Medicine's NPI active?
- Yes — Fairwood Internal Medicine's NPI (1396986873) is active in the NPPES registry as of the last update on 2009-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.