Individual provider Active NPI

Oyindamola Oluwafunke Obadare, MD

  • Student in an Organized Health Care Education/Training Program
  • Urbana, IL
National Provider Identifier
1033096219
Registry record updated Dec 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
125.086637 Issued in IL
Practice address
Carle Foundation Hospital, Graduate Medical Education C
611 W Park St
Urbana, IL 61801
Phone
(217) 549-6585
NPI assigned
Aug 19, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 125.086637 IL Primary

Addresses

Primary practice location

Carle Foundation Hospital, Graduate Medical Education C
611 W Park St
Urbana, IL 61801

Mailing address

Carle Foundation Hospital, Graduate Medical Education C
611 W Park St
Urbana, IL 61801
Phone (217) 549-6585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20260225002141 IL Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 9739660051

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125.086637ILMDStudent in an Organized Health Care Education/Training Program

Interoperability endpoints

  • Direct secure messaging: oobadaremd445038@carlehiedirect.net

NPI Registry JSON

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

{
    "created_epoch": "1755561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766707200000",
    "number": "1033096219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CARLE FOUNDATION HOSPITAL, GRADUATE MEDICAL EDUCATION C",
            "address_2": "611 W PARK ST",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "61801",
            "telephone_number": "217-549-6585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARLE FOUNDATION HOSPITAL, GRADUATE MEDICAL EDUCATION C",
            "address_2": "611 W PARK ST",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "61801",
            "telephone_number": "217-549-6585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBADARE",
        "first_name": "OYINDAMOLA",
        "middle_name": "OLUWAFUNKE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-19",
        "last_updated": "2025-12-26",
        "certification_date": "2025-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IL",
            "license": "125.086637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbana, IL

Sources for this page

Verify at the official NPI Registry.