NPIMap

Individual provider Active NPI

Olayemi Olajide Osiyemi, MD

  • Infectious Disease Physician
  • West Palm Beach, FL
National Provider Identifier
1063522332
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME72374 Issued in FL
Practice address
2580 Metrocentre Blvd Ste 3
West Palm Beach, FL 33407-3100
Phone
(561) 832-6770
Fax
(561) 832-3292
NPI assigned
Aug 30, 2006
Last updated
Sep 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X ME72374 FL Primary

Addresses

Primary practice location

2580 Metrocentre Blvd Ste 3
West Palm Beach, FL 33407-3100

Mailing address

2580 Metrocentre Blvd Ste 3
West Palm Beach, FL 33407-3100
Phone (561) 832-6770

Other identifiers 1

IdentifierTypeStateIssuer
258949400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101220000330 FL Practitioner - Infectious Disease 6901821107 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
University of Maryland School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Triple O Medical Services PAGroup PAC ID 8820013014, 2 clinicians

Practice addresses (Care Compare)

2580 Metrocentre Blvd
Suite 3
West Palm BCH, FL 33407-3100
Phone (561) 832-6770

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME72374FLMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Triple O Medical Services PA Infectious Disease CurrentSince Sep 11, 2000 Accepting new patients

Locations

901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300

1515 N Flagler Dr
Ste 200
West Palm Beach, FL 33401
Phone (561) 249-2279

2580 Metrocentre Blvd
Ste 3
West Palm Beach, FL 33407
Phone (561) 594-1840

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: olayemiosiyemi@tomspa.allscriptsdirect.net
  • Direct secure messaging: oosiyemi20558@jupitermedicalcenter.direct-ci.com

Organizations & group practices 1

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1063522332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2580 METROCENTRE BLVD STE 3",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073100",
            "telephone_number": "561-832-6770",
            "fax_number": "561-832-3292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580 METROCENTRE BLVD STE 3",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073100",
            "telephone_number": "561-832-6770",
            "fax_number": "561-832-3292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSIYEMI",
        "first_name": "OLAYEMI",
        "middle_name": "OLAJIDE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME72374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258949400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.