Individual provider Active NPI

Bolaji Soji Ojo

  • Family Nurse Practitioner
  • Plainfield, IN
National Provider Identifier
1013658038
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F02220900 Issued in IN
Practice address
727 Moon Rd
Plainfield, IN 46168-8757
Phone
(317) 839-2513
NPI assigned
Apr 5, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F02220900 IN Primary

Addresses

Primary practice location

727 Moon Rd
Plainfield, IN 46168-8757

Mailing address

7210 Village Parkway Dr Apt 5
Indianapolis, IN 46254-4352
Phone (317) 285-9081

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230705003413 IN Practitioner - Nurse Practitioner 7113386459 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6640 Parkdale PL
Suite V
Indianapolis, IN 46254-5619
Phone (317) 886-8910

Hospital & facility affiliations

  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F02220900INMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
United Hope Health Services LLC Family CurrentSince May 12, 2024 Accepting new patients

Locations

6640 Parkdale Pl
Ste V
Indianapolis, IN 46254
Phone (317) 529-2372

Organizations & group practices 1

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 2

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": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1013658038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7210 VILLAGE PARKWAY DR APT 5",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462544352",
            "telephone_number": "317-285-9081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 MOON RD",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461688757",
            "telephone_number": "317-839-2513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OJO",
        "first_name": "BOLAJI",
        "middle_name": "SOJI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "F02220900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IN

Sources for this page

Verify at the official NPI Registry.