Individual provider Active NPI

Oladotun Olushola Akinmurele, MD

  • Family Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1013221969
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD2011-02222 Issued in NM
Practice address
3120 Capital Way Unit 602
Fort Worth, TX 76177-4305
Phone
(817) 704-3345
Fax
(817) 704-3463
NPI assigned
Aug 3, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 49044 AL
Family Medicine Physician 207Q00000X 342642 LA
Family Medicine Physician 207Q00000X 33650 MS
Family Medicine Physician 207Q00000X 036170828 IL
Family Medicine Physician 207Q00000X Q1936 TX
Family Medicine Physician 207Q00000X MD2011-02222 NM Primary

Addresses

Primary practice location

3120 Capital Way Unit 602
Fort Worth, TX 76177-4305

Mailing address

PO Box 299
Portales, NM 88130-9347
Phone (575) 356-6652

Other practice location 1

42121 US Hwy 70 N
Portales, NM 88130-9347
Phone (575) 356-6652

Other practice location 2

1400 N Coit Rd Ste 302
McKinney, TX 75071-6656
Phone (888) 803-3370

Other practice location 3

215 Cowboy Way
Edgewood, NM 87015-9616
Phone (888) 803-3370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, TX2 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
I20110831000093 NM Practitioner - Family Practice 9638349632 Reassigns benefits to 2 organizations
I20241216001855 TX Practitioner - Family Practice 9638349632 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Roosevelt County Special Hospital District 39 clinicians

Practice addresses (Care Compare)

2000 W 21St St
Suite R1
Clovis, NM 88101-4098
Phone (575) 935-0944

3120 Capital Way
Unit 602
Fort Worth, TX 76177-4305
Phone (817) 704-3345

42121 US Hwy 70
Portales, NM 88130-9054
Phone (575) 356-6652

Hospital & facility affiliations

  • Roosevelt General Hospital Hospital, Portales, NM, CCN 320084
  • University Medical Center Hospital, Lubbock, TX, CCN 450686

Merit-based Incentive Payment System (MIPS)

Final score
99.52 of 100Reported as apm
Quality
87.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
49044ALMDFamily Medicine Physician
036170828ILMDFamily Medicine Physician
342642LAMDFamily Medicine Physician
33650MSMDFamily Medicine Physician
MD2011-02222NMMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Foundation Family Practice PLLC CurrentSince Dec 2, 2024 Accepting new patients
Roosevelt County Special Hospital District CurrentSince Jul 1, 2011 Accepting new patients
Nes Arizona Inc CurrentSince Jul 1, 2023 Accepting new patients
Circle Medical Care Group PA Family Medicine Past Accepting new patients

Locations

2430 W Pierce St
Carlsbad, NM 88220
Phone (505) 887-4100

2000 W 21st St
Ste R1
Clovis, NM 88101
Phone (505) 763-3445

42121 US Highway 70
Portales, NM 88130
Phone (505) 226-3627

405 W Country Club Rd
Roswell, NM 88201
Phone (505) 622-8170

3120 Capital Way
#602
Fort Worth, TX 76177
Phone (817) 704-3345

Interoperability endpoints

  • Direct secure messaging: oladotun.akinmurele.1@30520.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/FGCFDD/Endpoint/FGCFDD
  • Direct secure messaging: oladotunakinmurele@rghnm.medalliesdirect.net

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 6

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": "1280793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1013221969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 299",
            "city": "PORTALES",
            "state": "NM",
            "postal_code": "881309347",
            "telephone_number": "575-356-6652",
            "fax_number": "575-226-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 CAPITAL WAY UNIT 602",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761774305",
            "telephone_number": "817-704-3345",
            "fax_number": "817-704-3463"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42121 US Hwy 70 N",
            "address_purpose": "LOCATION",
            "city": "Portales",
            "state": "NM",
            "postal_code": "881309347",
            "country_code": "US",
            "telephone_number": "575-356-6652",
            "fax_number": "575-226-0099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 N Coit Rd Ste 302",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "750716656",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "215 Cowboy Way",
            "address_purpose": "LOCATION",
            "city": "Edgewood",
            "state": "NM",
            "postal_code": "870159616",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AKINMURELE",
        "first_name": "OLADOTUN",
        "middle_name": "OLUSHOLA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-03",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "49044",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "342642",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "33650",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036170828",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q1936",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2011-02222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.