Active NPI
James Oyetunde Oyekan, MD
- Gynecology Physician
- Jbsa, Fort Sam Houston, TX
National Provider Identifier
1053499368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 25MA07947500
- Practice address
- 3551 Roger Brooke Dr
Dept OB/GYN
Jbsa, Fort Sam Houston, TX 78253 - Phone
- (210) 221-0938
- NPI assigned
- Nov 2, 2006
- 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 |
|---|---|---|---|---|
| Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician | 2088F0040X | 0101253319 | VA | |
| Gynecology Physician | 207VG0400X | 25MA07947500 | NJ | Primary |
Addresses
Primary practice location
3551 Roger Brooke Dr
Dept OB/GYN
Jbsa, Fort Sam Houston, TX 78253
Mailing address
411 Eissman Rd
At 6
Leesville, LA 71446-5430
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1406 6TH Ave N
Saint Cloud, MN 56303-1900
525 Main St W
Melrose, MN 56352-1043
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA07947500 | NJ | MD | Gynecology Physician |
Organizations & group practices 6
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.
-
- Critical Access Hospital
- Long Prairie, MN
- NPI 1164471678
-
- Critical Access Hospital
- Melrose, MN
- NPI 1720045073
-
- Rural Health Clinic/Center
- Sauk Centre, MN
- NPI 1578813762
-
- Critical Access Hospital
- Sauk Centre, MN
- NPI 1740553932
-
- Critical Access Hospital
- Paynesville, MN
- NPI 1205269941
-
- Rural Health Clinic/Center
- Paynesville, MN
- NPI 1629402516
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633305600000",
"number": "1053499368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 EISSMAN RD",
"address_2": "AT 6",
"city": "LEESVILLE",
"state": "LA",
"postal_code": "714465430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3551 ROGER BROOKE DR",
"address_2": "DEPT OB/GYN",
"city": "JBSA, FORT SAM HOUSTON",
"state": "TX",
"postal_code": "78253",
"telephone_number": "210-221-0938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OYEKAN",
"first_name": "JAMES",
"middle_name": "OYETUNDE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2021-10-04",
"certification_date": "2021-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "2088F0040X",
"taxonomy_group": "",
"desc": "Urology, Urogynecology and Reconstructive Pelvic Surgery",
"state": "VA",
"license": "0101253319",
"primary": false
},
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "NJ",
"license": "25MA07947500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jbsa, Fort Sam Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; 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.