Damilola Florence Oluyitan, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

70044 Issued in AZ

Practice address

13395 N Marana Main St
Marana, AZ 85653-7008

Phone

(520) 682-4111

Fax

(520) 616-1442

NPI assigned

Apr 1, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: damilola.oluyitan-okeze.1@32652.direct.athenahealth.com

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.

• Marana Health Center, Inc

  dba MHC Healthcare

  • Federally Qualified Health Center (FQHC)
  • Marana, AZ
  • NPI 1447263405

  Family Medicine

  Medicare reassignment NPD
• Marana Health Center Inc

  dba MHC Healthcare Dental Office

  • Federally Qualified Health Center (FQHC)
  • Tucson, AZ
  • NPI 1396512034
  NPD
• Marana Health Center, Inc

  dba MHC Integrated Care Pharmacy

  • Clinic Pharmacy
  • Tucson, AZ
  • NPI 1073072450
  NPD (past)

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

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1023436540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 188",
            "city": "MARANA",
            "state": "AZ",
            "postal_code": "856530188",
            "telephone_number": "520-682-4111",
            "fax_number": "520-616-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13395 N MARANA MAIN ST",
            "city": "MARANA",
            "state": "AZ",
            "postal_code": "856537008",
            "telephone_number": "520-682-4111",
            "fax_number": "520-616-1442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLUYITAN",
        "first_name": "DAMILOLA",
        "middle_name": "FLORENCE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-01",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60759300",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "70044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2084659",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyla M Norris, SLPA
• Northwest Medical Center CT MRI at Marana LLC
• Lauren Nowasell, DDS
• Oasismed Care LLC
• Chioma Ogala, M.D
• Stephanie Lynn Ortiz
• Bill E Owenby, LPC
• James Douglas Oyler, M.A.
• Pearl Lee Palmer, RN
• Rui Wen Pang, MD

• Family Medicine Physician in Marana, AZ
• Providers in Marana, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.