Individual provider Active NPI

Oluwamayowa Franklin Familua, M.D., MRCS., FICS

  • Surgery Physician
  • El Paso, TX
National Provider Identifier
1063714970
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
N9450 Issued in TX
Practice address
4655 Cohen Ave
El Paso, TX 79924-4415
Phone
(915) 532-1800
Fax
(888) 694-2748
NPI assigned
Nov 29, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X N9450 TX
Surgery Physician 208600000X N9450 TX Primary

Addresses

Primary practice location

4655 Cohen Ave
El Paso, TX 79924-4415

Mailing address

4655 Cohen Ave
El Paso, TX 79924-4415
Phone (915) 532-1800

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
I20111024000561 TX Practitioner - General SurgeryPractitioner - Emergency Medicine 0345413100 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4655 Cohen Ave
El Paso, TX 79924-4415
Phone (915) 532-1800

9900 Montana Ave
Suite A2
El Paso, TX 79925-1549
Phone (915) 532-1800

Hospital & facility affiliations

  • Las Palmas Medical Center a Campus of LPDS Healthc Hospital, El Paso, TX, CCN 450107
  • Sierra Medical Center Hospital, El Paso, TX, CCN 450668
  • Carlsbad Medical Center Hospital, Carlsbad, NM, CCN 320063
  • Culberson Hospital Hospital, Van Horn, TX, CCN 451338

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N9450TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dunamis Surgical Centers PLLC Surgery CurrentSince Mar 1, 2013 Accepting new patients
Acute Care Surgical Affiliates of Texas PA Surgery CurrentSince Nov 11, 2022 Accepting new patients
Southeast Surgical Associates, P.a. Surgery Past Accepting new patients
El Paso Healthcare System LTD Past Accepting new patients
Cor Emergency Physicians Emergency Medicine Past Accepting new patients
PRMC ER Group Inc Past Accepting new patients
Southwest Medical Associates, Inc. Emergency Medicine Past Accepting new patients

Locations

600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511

4655 Cohen Ave
El Paso, TX 79924
Phone (915) 532-1800

9900 Montana Ave
Ste A
El Paso, TX 79925

1250 E Cliff Dr
Ste 5A
El Paso, TX 79902
Phone (915) 351-6100

3270 Joe Battle Blvd
Ste 360
El Paso, TX 79938
Phone (915) 538-4400

9900 Montana Ave
Ste A2
El Paso, TX 79925
Phone (915) 532-1800

2101 N Oregon St
El Paso, TX 79902
Phone (915) 577-6011

2001 N Oregon St
El Paso, TX 79902
Phone (915) 577-6011

3280 Joe Battle Blvd
El Paso, TX 79938
Phone (915) 577-6000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19317/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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.

Hospital & facility affiliations 6

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": "1290988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1063714970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4655 COHEN AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799244415",
            "telephone_number": "915-532-1800",
            "fax_number": "888-694-2748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4655 COHEN AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799244415",
            "telephone_number": "915-532-1800",
            "fax_number": "888-694-2748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAMILUA",
        "first_name": "OLUWAMAYOWA",
        "middle_name": "FRANKLIN",
        "name_prefix": "Dr.",
        "credential": "M.D., MRCS.,  FICS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-29",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "N9450",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "N9450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.