Individual provider Active NPI

Taofeeq O Ogunbajo, M.D.

  • Pediatrics Physician
  • Kingwood, TX
National Provider Identifier
1073801312
Registry record updated Jun 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
R0920 Issued in TX
Practice address
22999 Highway 59 N
Kingwood, TX 77339
Phone
(510) 910-5304
NPI assigned
Jul 20, 2011
Last updated
Jun 6, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X R0920 TX Primary

Addresses

Primary practice location

22999 Highway 59 N
Kingwood, TX 77339

Mailing address

22999 Highway 59 N
Kingwood, TX 77339-4412
Phone (510) 910-5304

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
I20170307001113 TX Practitioner - Pediatric Medicine 1254656507 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rio Valley Emergency Physician Associates PLLC CurrentSince Mar 31, 2023 Accepting new patients
Nueces Emergency Medicine Associates PA CurrentSince Sep 3, 2018 Accepting new patients
Memorial Hermann Hospital Based Physician Group CurrentSince Jul 1, 2020 Accepting new patients
Acs Primary Care Physicians Southwest, PA CurrentSince Sep 1, 2018 Accepting new patients
Edinburg Emergency Medicine Associates PA CurrentSince Sep 3, 2018 Accepting new patients
Singleton Associates PA Past Accepting new patients

Locations

3533 S Alameda St
Corpus Christi, TX 78411
Phone (361) 694-5445

27800 NW Freeway
Cypress, TX 77433
Phone (346) 231-4000

1102 W Trenton Rd
Edinburg, TX 78539
Phone (956) 388-6500

921 Gessner Rd
Houston, TX 77024
Phone (713) 242-3439

23900 Katy Fwy
Katy, TX 77494
Phone (281) 644-7000

2555 Gulf Fwy S
#C1100
League City, TX 77573

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

16100 South Fwy
Pearland, TX 77584
Phone (713) 413-5000

9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300

9250 Pinecroft Dr
#C
Shenandoah, TX 77380

17500 W Grand Pkwy S
Sugar Land, TX 77479
Phone (281) 725-5000

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, 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": "1311120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528243200000",
    "number": "1073801312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22999 HIGHWAY 59 N",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773394412",
            "telephone_number": "510-910-5304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22999 HIGHWAY 59 N",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "77339",
            "telephone_number": "510-910-5304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGUNBAJO",
        "first_name": "TAOFEEQ",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-20",
        "last_updated": "2018-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "R0920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.