Individual provider Active NPI

Ifedolapo Sulyman Olanrewaju, M.D.

  • Family Medicine Physician
  • Alexandria, LA
National Provider Identifier
1033465893
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD. 208226 Issued in LA
Practice address
3330 Masonic Dr
Alexandria, LA 71301-3841
Phone
(318) 487-1122
Fax
(318) 449-2320
NPI assigned
Jul 31, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD61378636 WA
Family Medicine Physician 207Q00000X MD. 208226 LA Primary

Addresses

Primary practice location

3330 Masonic Dr
Alexandria, LA 71301-3841

Mailing address

1000 Riverwalk Blvd
Apt 709
Shreveport, LA 71105-2717
Phone (318) 528-7946

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WA, OK, MO, TN, IA, IN, IL, CO, WY10 enrollments
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 10

Enrollment IDStateProvider typePAC IDDetails
I20221101002567 TX Practitioner - Family Practice 2668764077 Reassigns benefits to 1 organization
I20221130002221 WA Practitioner - Family Practice 2668764077 Reassigns benefits to 1 organization
I20230504001038 OK Practitioner - Family Practice 2668764077 Reassigns benefits to 1 organization
I20230605002535 MO Practitioner - Family Practice 2668764077 Reassigns benefits to 1 organization
I20240131000277 TN Practitioner - Family Practice 2668764077 Reassigns benefits to 3 organizations
I20240403004220 IA Practitioner - Family Practice 2668764077 Reassigns benefits to 1 organization
I20240605002687 IN Practitioner - Family Practice 2668764077 Reassigns benefits to 2 organizations
I20240718000508 IL Practitioner - Family Practice 2668764077 Reassigns benefits to 1 organization
I20240824000163 CO Practitioner - Family Practice 2668764077 Reassigns benefits to 1 organization
I20250815002654 WY Practitioner - Family PracticePractitioner - Hospitalist 2668764077 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hospitalist Medicine Physicians of Texas PLLCGroup PAC ID 3476688318, 685 clinicians
South Sound Inpatient Physicians PLLCGroup PAC ID 5991618738, 424 clinicians
Sound Physicians of Illinois LLCGroup PAC ID 1557533734, 193 clinicians
Cogent Healthcare of Tennessee, PCGroup PAC ID 8628221165, 36 clinicians
Sound Physicians of Wyoming LLCGroup PAC ID 8325214828, 41 clinicians
Inpatient Services, PCGroup PAC ID 5496651267, 9 clinicians
Sound Physicians of Indiana LLCGroup PAC ID 4981841780, 76 clinicians

Practice addresses (Care Compare)

1000 N Lee Ave
Oklahoma City, OK 73102-1036
Phone (405) 272-7000

1100 Jackson Ave
Raymond, WA 98577-3308
Phone (360) 942-2424

11160 Village N Dr
Christian Extended Care and Rehab
Saint Louis, MO 63136-6159
Phone (314) 653-4848

12563 Village Circle Dr
Saint Louis, MO 63127-1758
Phone (314) 730-3902

1305 Alexander St
Centralia, WA 98531-1305
Phone (360) 736-2823

16251 Sylvester Rd SW
Burien, WA 98166-3017
Phone (206) 244-9970

2201 Glenn Hendren Dr
Liberty, MO 64068-3375
Phone (816) 736-8800

2430 N 13TH St
Shelton, WA 98584-1213
Phone (360) 426-1651

2700 Parkwood Ave
Chattanooga, TN 37404-1730
Phone (423) 624-1533

401 Corporate Park Dr
Saint Louis, MO 63105-4201
Phone (314) 725-7447

407 14TH Ave SE
Puyallup, WA 98372-3770
Phone (253) 697-4000

4305 S Poplar St
Casper, WY 82601-6106
Phone (307) 237-2561

4430 Talbot Rd S
Renton, WA 98055-6218
Phone (425) 226-7500

4755 S 48TH St
Tacoma, WA 98409-1919
Phone (253) 475-4611

5943 Telegraph Rd
Saint Louis, MO 63129-4715
Phone (314) 846-2000

6005 S Holly St
Centennial, CO 80121-3460
Phone (303) 773-1000

6006 SE Adams Blvd
Bartlesville, OK 74006-8960
Phone (918) 331-0550

621 Carondelet Dr
Kansas City, MO 64114-4670
Phone (816) 941-1300

6420 Clayton Rd
Richmond Heights, MO 63117-1811
Phone (314) 768-8000

724 W Rendon Crowley Rd
Crowley, TX 76036-5330
Phone (817) 297-4141

7519 Winchester Rd
SP in Majestic Fort Wayne
Fort Wayne, IN 46819-2242
Phone (260) 747-7435

811 W 2ND St
Generations at Neighbors
Byron, IL 61010-1464
Phone (815) 234-2511

820 NW 95TH St
Seattle, WA 98117-2207
Phone (206) 782-0100

8300 W 38TH Ave
Exempla Lutheran Medical Center
Wheat Ridge, CO 80033-6005
Phone (303) 425-4500

8720 S 101St E Ave
Ignite Medical Resort Tulsa
Tulsa, OK 74133-5840
Phone (918) 965-0101

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD. 208226LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians of Indiana, LLC Family Medicine CurrentSince Apr 29, 2024 Accepting new patients
Sound Physicians of Wyoming, LLC Family Medicine CurrentSince Jul 1, 2025 Accepting new patients
Inpatient Services, PC Family Medicine CurrentSince Jun 27, 2024 Accepting new patients
South Sound Inpatient Physicians PLLC Family Medicine CurrentSince Nov 10, 2022 Accepting new patients
Inpatient Services, PC Family Medicine Current Accepting new patients
Cogent Healthcare of Tennessee, PC CurrentSince Dec 28, 2023 Accepting new patients
South Sound Inpatient Physicians PLLC Family Medicine Current Accepting new patients
Cogent Healthcare of Iowa, PC Family Medicine CurrentSince Mar 4, 2024 Accepting new patients
South Sound Inpatient Physicians PLLC Family Medicine CurrentSince Nov 10, 2022 Accepting new patients
Rabessler MD PC Family Medicine CurrentSince Apr 8, 2025 Accepting new patients
Sound Physicians of Illinois, LLC Family Medicine CurrentSince May 2, 2023 Accepting new patients
Inpatient Services, PC Family Medicine CurrentSince Jun 27, 2024 Accepting new patients
Sound Physicians of Indiana, LLC Family Medicine CurrentSince Apr 29, 2024 Accepting new patients

Locations

8300 W 38th Ave
Wheat Ridge, CO 80033
Phone (303) 425-2015

3 S 4th Ave
Marshalltown, IA 50158
Phone (641) 754-5145

1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227

7519 Winchester Rd
Fort Wayne, IN 46819
Phone (260) 747-1101

5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443

2201 Glenn Hendren Dr
Liberty, MO 64068
Phone (816) 736-8800

515 Picnic St
New Florence, MO 63363
Phone (573) 415-9333

6420 Clayton Rd
Saint Louis, MO 63117
Phone (314) 768-8442

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

2700 Parkwood Ave
Chattanooga, TN 37404
Phone (423) 242-7123

400 E Tickle St
Dyersburg, TN 38024
Phone (731) 285-2410

608 8th Ave E
Springfield, TN 37172
Phone (615) 384-8453

16251 Sylvester Rd SW
Burien, WA 98166
Phone (206) 244-9970

407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000

1225 N Argonne Rd
Ste 100
Spokane Valley, WA 99212
Phone (509) 505-5315

1498 Pacific Ave
Ste 500
Tacoma, WA 98402
Phone (253) 682-6040

1233 E 2nd St
Casper, WY 82601
Phone (307) 577-2171

4305 S Poplar St
Casper, WY 82601
Phone (307) 237-2561

1851 Big Horn Ave
Sheridan, WY 82801
Phone (307) 674-4416

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1033465893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 RIVERWALK BLVD",
            "address_2": "APT 709",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711052717",
            "telephone_number": "318-528-7946",
            "fax_number": "318-449-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 MASONIC DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013841",
            "telephone_number": "318-487-1122",
            "fax_number": "318-449-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLANREWAJU",
        "first_name": "IFEDOLAPO",
        "middle_name": "SULYMAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-31",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD61378636",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD. 208226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.