Theophilus Tolulope Ogungbamigbe, MD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

Q0140 Issued in TX

Practice address

1302 Bankston LN
Mansfield, TX 76063-8676

Phone

(785) 354-9591

NPI assigned

Jul 22, 2006

Last updated

May 6, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1504/brand/5/csg/87/fhir/r4
• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72070
• Direct secure messaging: theophilus.ogungbamigbe.1@13131.direct.athenahealth.com
• Direct secure messaging: theophilus.ogungbamigbe.2@13131.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dallas Pulmonary & Sleep Clinic

  • Pulmonary Disease Physician
  • Mansfield, TX
  • NPI 1871971531
  Authorized official Same address or phone
• Premier Gastroenterology of Texas PA

  • Gastroenterology Physician
  • Dallas, TX
  • NPI 1265719140
  NPD (past)
• Texas Em-I Medical Services, PA

  • Internal Medicine Physician
  • Greenville, TX
  • NPI 1699981720
  NPD (past)
• Texas Pulmonary & Critical Care Consultants, PA

  • Pulmonary Disease Physician
  • Fort Worth, TX
  • NPI 1427127968

  Critical Care Medicine

  NPD (past)
• Texas Sleep Diagnostics and Therapeutics LLC

  • Sleep Medicine (Internal Medicine) Physician
  • Waxahachie, TX
  • NPI 1336681436
  NPD (past)

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1043231228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 BANKSTON LN",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760638676",
            "telephone_number": "917-517-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 BANKSTON LN",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760638676",
            "telephone_number": "785-354-9591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGUNGBAMIGBE",
        "first_name": "THEOPHILUS",
        "middle_name": "TOLULOPE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "KS",
            "license": "04-32614",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "KS",
            "license": "04-32614",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "Q0140",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "KS",
            "license": "04-32614",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200438400A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00426465",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "230637",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "106587",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nellius Oduguwa, PMHNP
• Suwebatu T Odunsi-Shiyanbade, M.D.
• Meyling Jennifer Oei, DO
• Anjelica Ofiana, RBT
• Danish B Ogoti
• Ola Doris Ogunmakin, RD,LD
• Ebunoluwa Abodunrin Ogunola, PHYSICAL THERAPIST
• Oghanim Ifeoma Ogwu, MD
• Ejiro Odeka Ohonbamu
• Adeolu Daniel Ojo

• Pulmonary Disease Physician in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Pulmonary Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.