NPIMap

Individual provider Active NPI

Olusegun Adewole Oyenuga, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Richardson, TX
National Provider Identifier
1033300074
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
Q5888 Issued in TX
Practice address
3001 E President George Bush Hwy Ste 175
Richardson, TX 75082-3551
Phone
(972) 941-3117
Fax
(844) 289-7691
NPI assigned
Aug 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD437667 PA
Cardiovascular Disease Physician 207RC0000X 036127256 IL
Clinical Cardiac Electrophysiology Physician 207RC0001X Q5888 TX Primary

Addresses

Primary practice location

3001 E President George Bush Hwy Ste 175
Richardson, TX 75082-3551

Mailing address

3001 E President George Bush Hwy Ste 175
Richardson, TX 75082-3551
Phone (972) 941-3117

Other identifiers 3

IdentifierTypeStateIssuer
349940203MedicaidTX
349940204MedicaidTX
349940205MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150921002636 TX Practitioner - Cardiac Electrophysiology 3577616226 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Electrophysiology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Heartplace PLLCGroup PAC ID 2769386473, shared by 4 NPIs, 90 clinicians

Practice addresses (Care Compare)

3801 W 15TH St
Suite 320
Plano, TX 75075-7767
Phone (972) 985-8838

7777 Forest LN
Suite A341
Dallas, TX 75230-2500
Phone (972) 566-5700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.5 of 100Reported as individual
Quality
73.58
Promoting interoperability
100
Improvement activities
40
Cost
64.77

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair52

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD437667PAMDInternal Medicine Physician
036127256ILMDCardiovascular Disease Physician
Q5888TXMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiac Cath Lab of Dallas, LP CurrentSince Feb 1, 2022 Accepting new patients
Heartplace, PLLC CurrentSince Jan 1, 2025 Accepting new patients
Cardiac Cath Lab of Collin County, LP CurrentSince Mar 1, 2020 Accepting new patients
Heartplace, PLLC CurrentSince Dec 1, 2019 Accepting new patients
Heartplace, PLLC Cardiovascular Disease Current Accepting new patients
Heartplace, PLLC Cardiovascular Disease CurrentSince Dec 1, 2019 Accepting new patients
Heartplace, PLLC Cardiovascular Disease Past Accepting new patients
Texas Tech University Health Sciences Center Lubbock Past Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients
Covenant Medical Group Internal Medicine Past Accepting new patients

Locations

341 Cool Springs Blvd
Ste 305
Franklin, TN 37067
Phone (972) 391-1915

997 Raintree Cir
Ste 140
Allen, TX 75013
Phone (972) 332-3366

1105 Central Expy N
Ste 2330
Allen, TX 75013
Phone (972) 378-9560

902 W Randol Mill Rd
Ste 200
Arlington, TX 76012
Phone (817) 461-3003

11970 N Central Expy
Ste 610
Dallas, TX 75243
Phone (469) 232-9393

16980 Dallas Pkwy
Ste 200
Dallas, TX 75248
Phone (214) 343-8565

1151 N Buckner Blvd
Ste 403
Dallas, TX 75218
Phone (469) 200-4623

7777 Forest Ln
Ste A341
Dallas, TX 75230
Phone (972) 556-5700

3801 W 15th St
Ste 320
Plano, TX 75075
Phone (972) 596-3201

3001 George Bush Hwy
Ste 175
Richardson, TX 75082
Phone (214) 231-9874

399 W Campbell Rd
Ste 300
Richardson, TX 75080
Phone (972) 665-9100

Interoperability endpoints

  • Direct secure messaging: olusegun.oyenuga.1@14273.direct.athenahealth.com
  • Direct secure messaging: olusegun.oyenuga@direct.myteamcare.com
  • FHIR API: https://api.platform.athenahealth.com/14273/brand/6/csg/1/fhir/r4
  • Direct secure messaging: olusegun.oyenuga@ushv.eclinicaldirectplus.com

Organizations & group practices 10

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 6

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": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1033300074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 E PRESIDENT GEORGE BUSH HWY STE 175",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750823551",
            "telephone_number": "972-941-3117",
            "fax_number": "844-289-7691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 E PRESIDENT GEORGE BUSH HWY STE 175",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750823551",
            "telephone_number": "972-941-3117",
            "fax_number": "844-289-7691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OYENUGA",
        "first_name": "OLUSEGUN",
        "middle_name": "ADEWOLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-06",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD437667",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036127256",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "TX",
            "license": "Q5888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "349940203",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "349940204",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "349940205",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

Verify at the official NPI Registry.