Active NPI
Temitope Oladokun Olagbaiye, NP
- Family Nurse Practitioner
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 33656
- Practice address
- 5131 Quince Rd
Memphis, TN 38117-6846 - Phone
- (901) 701-1888
- Fax
- (901) 701-1136
- NPI assigned
- Sep 27, 2012
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 9
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.
-
- Non-Pharmacy Dispensing Site
- Miami, FL
- NPI 1174144695
TN
-
- Internal Medicine Physician
- Miami Gardens, FL
- NPI 1992392393
MI
-
- Non-Pharmacy Dispensing Site
- Memphis, TN
- NPI 1922634575
-
- Non-Pharmacy Dispensing Site
- Eastpointe, MI
- NPI 1730754656
-
- Non-Pharmacy Dispensing Site
- Detroit, MI
- NPI 1366028730
-
- Nurse Practitioner
- Merrillville, IN
- NPI 1619335700
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1205126216
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130408000198 | MI | Practitioner - Nurse Practitioner | 4789829151 | Reassigns benefits to 3 organizations |
| I20230509003165 | TN | Practitioner - Nurse Practitioner | 4789829151 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dedicated Physicians Group of Michigan PLLC | Current | Accepting new patients | |
| Joram O Mogaka MD PC | Current | Accepting new patients | |
| Paragon Clinical LLC | Family | Current | Accepting new patients |
| Dedicated Physicians Group of Tennessee, PLLC | Current | Accepting new patients | |
| Dedicated Physicians Group of Tennessee, PLLC | Current | Accepting new patients | |
| Paragon Clinical Midwest, LLC | Past | Accepting new patients | |
| Dedicated Physicians Group of Michigan PLLC | Past | Accepting new patients | |
| United Family Medical Associates, PLLC | Past | Accepting new patients |
Locations
1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760
1385 E Empire Ave
Benton Harbor, MI 49022
Phone (269) 925-0033
21811 Kelly Rd
Eastpointe, MI 48021
Phone (586) 649-3388
2252 Lamar Ave
Memphis, TN 38114
Phone (901) 671-1800
1056 E Raines Rd
Memphis, TN 38116
Phone (901) 300-5777
5131 Quince Rd
Memphis, TN 38117
Phone (901) 440-3044
Interoperability endpoints
- tolagalye830797@direct.hfhs.org
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704252765 | MI | |
| Family Nurse Practitioner | 363LF0000X | 33656 | TN | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
5131 Quince Rd
Memphis, TN 38117-6846
Mailing address
5131 Quince Rd
Memphis, TN 38117-6846
Phone (901) 701-1888
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4704252765 | Other | MI | STATE LICENSE NUMBER |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 7, 2023.
{
"created_epoch": "1348704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694044800000",
"number": "1043561277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5131 QUINCE RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381176846",
"telephone_number": "901-701-1888",
"fax_number": "901-701-1136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5131 QUINCE RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381176846",
"telephone_number": "901-701-1888",
"fax_number": "901-701-1136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLAGBAIYE",
"first_name": "TEMITOPE",
"middle_name": "OLADOKUN",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-09-27",
"last_updated": "2023-09-07",
"certification_date": "2021-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704252765",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "33656",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "4704252765",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.