NPIMap

Individual provider Active NPI

Olusegun Ademola Ogunlesi, M.D, M.H.S

  • Infectious Disease Physician
  • Mentor, OH
National Provider Identifier
1013182013
Registry record updated Feb 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
35086600 Issued in OH
Practice address
8587 East Avenue
Mentor, OH 44060-4301
Phone
(440) 867-4800
Fax
(866) 711-5107
NPI assigned
Apr 30, 2008
Last updated
Feb 16, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 35086600 OH Primary

Addresses

Primary practice location

8587 East Avenue
Mentor, OH 44060-4301

Mailing address

8587 East Avenue
Mentor, OH 44060-4301
Phone (440) 867-4800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100817000209 OH Practitioner - Infectious Disease 5395879035 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Axelix Health Consulting IncGroup PAC ID 9032243779, 4 clinicians

Practice addresses (Care Compare)

8587 E Ave
Mentor, OH 44060-4301
Phone (440) 867-4800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.07 of 100Reported as group
Quality
92.55
Improvement activities
40
Cost
79.49

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue381

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Axelix Health Consulting, Inc Infectious Disease CurrentSince Jul 1, 2010 Accepting new patients
Michael P Binder MD LTD PastSince Jul 1, 2010 Accepting new patients

Locations

8587 East Ave
Mentor, OH 44060
Phone (440) 867-4800

38033 Euclid Ave
Ste T8
Willoughby, OH 44094
Phone (440) 867-4800

Networks

  • KY PPO
  • devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
  • devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
  • KY PPO C-SNP
  • devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
  • devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037
  • OH PPO

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ECCEBA/Endpoint/ECCEBA
  • Direct secure messaging: olusegun.ogunlesi@ahci.eclinicaldirectplus.com
  • Direct secure messaging: oogunlesi37893@ehrdirect.uhhospitals.org

Organizations & group practices 2

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

Hospital & facility affiliations 9

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": "1209513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518739200000",
    "number": "1013182013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8587 EAST AVENUE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440604301",
            "telephone_number": "440-867-4800",
            "fax_number": "866-711-5107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8587 EAST AVENUE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440604301",
            "telephone_number": "440-867-4800",
            "fax_number": "866-711-5107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGUNLESI",
        "first_name": "OLUSEGUN",
        "middle_name": "ADEMOLA",
        "name_prefix": "Dr.",
        "credential": "M.D, M.H.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-30",
        "last_updated": "2018-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "OH",
            "license": "35086600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

Verify at the official NPI Registry.