Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Simisola Awofodu

Individual provider Physician Assistant · NPI 1376186684

Simisola Awofodu is a Physician Assistant in Springfield, Virginia. Graduated from University of Maryland School of Medicine in 2020, 6 years ago. Practices with Inova Ucc LLC, a 153-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
6
Trained at
University of Maryland School of Medicine
Licensed in
VA
In the registry since
2019
Specialties on file
2

Practice location Address checks out

6230 Rolling Rd Ste J
Springfield, VA 22152-2326
Phone: (571) 889-3235
Fax: (571) 889-3236
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110007851 (VA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1376186684
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 21, 2019
Last updated in NPPESApril 20, 2023
Certification dateApril 20, 2023
Mailing address6230 Rolling Rd Ste J, Springfield, VA 22152-2326

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Inova Ucc Llc — 153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations13 on file with Medicare

Other providers in Springfield