Individual provider Active NPI

Oludare Onisile, MD

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1013955624
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
23710 Issued in AZ
Practice address
4607 N 12TH St
Phoenix, AZ 85014-4006
Phone
(602) 222-8727
NPI assigned
Jun 4, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 23710 AZ Primary

Addresses

Primary practice location

4607 N 12TH St
Phoenix, AZ 85014-4006

Mailing address

4607 N 12TH St
Phoenix, AZ 85014-4006
Phone (602) 222-8727

Other identifiers 1

IdentifierTypeStateIssuer
329286MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120308000810 AZ Practitioner - Family Practice 0446142137 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Nevada School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4607 N 12TH St
Phoenix, AZ 85014-4006
Phone (602) 222-8727

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23710AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Access2Care Family Medical Center, Inc. Family Medicine CurrentSince Sep 1, 1999 Accepting new patients
Gilead Heart and Vascular PLLC PastSince Sep 1, 1999 Accepting new patients

Locations

1106 N Beeline Hwy
Payson, AZ 85541
Phone (928) 474-5286

4607 N 12th St
Phoenix, AZ 85014
Phone (480) 690-5210

11000 N Scottsdale Rd
Ste 295
Scottsdale, AZ 85254
Phone (480) 520-2929

2741 W Southern Ave
Ste 17
Tempe, AZ 85282
Phone (602) 454-8818

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AEEDDD

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.

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1013955624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4607 N 12TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850144006",
            "telephone_number": "602-222-8727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4607 N 12TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850144006",
            "telephone_number": "602-222-8727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONISILE",
        "first_name": "OLUDARE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "23710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "329286",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.