Active NPI
Olawale Adetayo Morafa, MD
- Family Medicine Physician
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 36735
- Practice address
- 2693 Union Avenue Ext
Suite 100
Memphis, TN 38112-4403 - Phone
- (901) 722-0088
- Fax
- (901) 722-0082
- NPI assigned
- Sep 1, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 36735 | TN | Primary |
Addresses
Primary practice location
2693 Union Avenue Ext
Suite 100
Memphis, TN 38112-4403
Mailing address
2693 Union Avenue Ext
Suite 100
Memphis, TN 38112-4403
Phone (901) 722-0088
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q010674 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2693 Union Ave Ext
Memphis, TN 38112-4403
Phone (901) 722-0088
2693 Union Ave Extended
Suite 100
Memphis, TN 38112-4403
Hospital & facility affiliations
- Methodist Hospitals of Memphis
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36735 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health First Family Care, PC | Family Medicine | Current | Accepting new patients |
| Shelby County Health Care Corporation | Past | Accepting new patients | |
| Methodist Healthcare - Memphis Hospitals | Past | Accepting new patients | |
| Office of Internal Medicine, PC | Past | Accepting new patients | |
| Cardiovascular Physicians of Memphis | Past | Accepting new patients |
Locations
2693 Union Avenue Ext
Ste 100
Memphis, TN 38112
Phone (901) 722-0088
Interoperability endpoints
- omorafa31570@mlh.direct-ci.com
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Memphis, TN
- NPI 1376879064
-
- Interventional Cardiology Physician
- Memphis, TN
- NPI 1659377216
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1558365890
-
- Internal Medicine Physician
- Memphis, TN
- NPI 1679776678
-
- Clinic Pharmacy
- Memphis, TN
- NPI 1629542493
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Children's Hospital
- Memphis, TN
- NPI 1386709871
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1558365890
-
- Children's Hospital
- Germantown, TN
- NPI 1649654450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425600000000",
"number": "1013901222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2693 UNION AVENUE EXT",
"address_2": "SUITE 100",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381124403",
"telephone_number": "901-722-0088",
"fax_number": "901-722-0082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2693 UNION AVENUE EXT",
"address_2": "SUITE 100",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381124403",
"telephone_number": "901-722-0088",
"fax_number": "901-722-0082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORAFA",
"first_name": "OLAWALE",
"middle_name": "ADETAYO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-01",
"last_updated": "2015-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "36735",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q010674",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.