Individual provider Active NPI

Olajide A Sowemimo

  • Neonatal-Perinatal Medicine Physician
  • Odessa, TX
National Provider Identifier
1043872955
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
V3717 Issued in TX
Practice address
Texas Tech University Health Sciences Complex
701 West 5TH Street
Odessa, TX 79763
Phone
(432) 703-6310
NPI assigned
Jul 1, 2019
Last updated
Jun 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X V3717 TX Primary

Addresses

Primary practice location

Texas Tech University Health Sciences Complex
701 West 5TH Street
Odessa, TX 79763

Mailing address

1379 Branchwood Cir Apt 202
Naperville, IL 60563-0492
Phone (646) 875-1704

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250728003712 TX Practitioner - Pediatric Medicine 0042727778 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
V3717TXMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center Odessa CurrentSince Jul 1, 2025 Accepting new patients
Ector County Hospital District Past Accepting new patients

Locations

701 W 5th St
#3142
Odessa, TX 79763
Phone (432) 335-2222

701 W 5th St
Ste 2C30L
Odessa, TX 79763
Phone (432) 620-1041

701 W 5th St
Odessa, TX 79763
Phone (432) 335-2222

Interoperability endpoints

  • Direct secure messaging: osowemimo136401@uihealth.direct-ci.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1043872955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1379 BRANCHWOOD CIR APT 202",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605630492",
            "telephone_number": "646-875-1704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TEXAS TECH UNIVERSITY HEALTH SCIENCES COMPLEX",
            "address_2": "701 WEST 5TH STREET",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "79763",
            "telephone_number": "432-703-6310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOWEMIMO",
        "first_name": "OLAJIDE",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-01",
        "last_updated": "2025-06-02",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "TX",
            "license": "V3717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

Verify at the official NPI Registry.