Individual provider Active NPI

Oluyomi Obafemi, M.D.

  • Public Health & General Preventive Medicine Physician
  • Santa Fe, NM
National Provider Identifier
1003174384
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
MD2025-0100 Issued in NM
Practice address
649 Harkle Rd Ste E
Santa Fe, NM 87505-4765
Phone
(505) 955-9454
NPI assigned
Apr 24, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine Physician 2083P0901X DR.0056983 CO
Surgery Physician 208600000X MT202124 PA
General Practice Physician 208D00000X MD452377 PA
Public Health & General Preventive Medicine Physician 2083P0901X MD2025-0100 NM Primary

Addresses

Primary practice location

649 Harkle Rd Ste E
Santa Fe, NM 87505-4765

Mailing address

PO Box 6880
Santa Fe, NM 87502-6880
Phone (505) 216-0332

Other identifiers 1

IdentifierTypeStateIssuer
DR.0056983OtherCOSTATE LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, NM2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191125000338 CO Practitioner - Preventive Medicine 9133342140 Reassigns benefits to 1 organization
I20250218001487 NM Practitioner - Preventive Medicine 9133342140 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Preventive Medicine
Education
University of Wisconsin School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Care CenterGroup PAC ID 8921043035, 28 clinicians

Practice addresses (Care Compare)

649 Harkle Rd
Santa Fe, NM 87505-4765
Phone (505) 955-9454

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MT202124PAMDSurgery Physician
MD452377PAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Care Center CurrentSince Feb 17, 2025 Accepting new patients
Denver Health and Hospital Authority CurrentSince Oct 5, 2019 Accepting new patients
Southwest Care Center CurrentSince Feb 17, 2025 Accepting new patients
Denver Health and Hospital Authority General Practice CurrentSince Oct 5, 2019 Accepting new patients
Southwest Care Center Past Accepting new patients
Southwest Care Center Jefferson Albuquerque Past Accepting new patients

Locations

777 Bannock St
Denver, CO 80204

605 Bannock St
#2600
Denver, CO 80204
Phone (303) 602-3539

777 Bannock St
#3240
Denver, CO 80204
Phone (303) 602-2714

649 Harkle Rd
Ste E
Santa Fe, NM 87505
Phone (505) 955-9454

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19212/brand/1/csg/1/fhir/r4
  • Direct secure messaging: oluyomi.obafemi.1@19212.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1003174384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6880",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875026880",
            "telephone_number": "505-216-0332",
            "fax_number": "505-982-0279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 HARKLE RD STE E",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054765",
            "telephone_number": "505-955-9454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBAFEMI",
        "first_name": "OLUYOMI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-24",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "CO",
            "license": "DR.0056983",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MT202124",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PA",
            "license": "MD452377",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "NM",
            "license": "MD2025-0100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "DR.0056983",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.