Active NPI
Ifedolapo Sulyman Olanrewaju, M.D.
- Family Medicine Physician
- Alexandria, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD. 208226
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, WY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 10
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| MD. 208226 | LA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Physicians of Indiana, LLC | Family Medicine | Current | Accepting new patients |
| Sound Physicians of Wyoming, LLC | Family Medicine | Current | Accepting new patients |
| Inpatient Services, PC | Family Medicine | Current | Accepting new patients |
| South Sound Inpatient Physicians PLLC | Family Medicine | Current | Accepting new patients |
| Inpatient Services, PC | Family Medicine | Current | Accepting new patients |
| Cogent Healthcare of Tennessee, PC | Current | Accepting new patients | |
| South Sound Inpatient Physicians PLLC | Family Medicine | Current | Accepting new patients |
| Cogent Healthcare of Iowa, PC | Family Medicine | Current | Accepting new patients |
| South Sound Inpatient Physicians PLLC | Family Medicine | Current | Accepting new patients |
| Rabessler MD PC | Family Medicine | Current | Accepting new patients |
| Sound Physicians of Illinois, LLC | Family Medicine | Current | Accepting new patients |
| Inpatient Services, PC | Family Medicine | Current | Accepting new patients |
| Sound Physicians of Indiana, LLC | Family Medicine | Current | 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.
-
- Internal Medicine Physician
- Dyersburg, TN
- NPI 1952654246
-
- Hospitalist Physician
- Bridgeton, MO
- NPI 1043598865
Family Medicine, IL
-
- Internal Medicine Physician
- Vancouver, WA
- NPI 1023285756
Family Medicine
-
- Internal Medicine Physician
- Humble, TX
- NPI 1629307095
OK
-
- Internal Medicine Physician
- Cedar Rapids, IA
- NPI 1982654497
Family Medicine
-
- Internal Medicine Physician
- St Augustine, FL
- NPI 1023866597
IN
-
- Internal Medicine Physician
- Cleveland, TN
- NPI 1740911585
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.