Active NPI
David Olateju Oladele-Bankole, MD
- Hematology & Oncology Physician
- Bismarck, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 16017
- Practice address
- 222 N 7TH St
Bismarck, ND 58501-4436 - Phone
- (701) 323-5422
- Fax
- (701) 323-8645
- NPI assigned
- Apr 26, 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 430104282 | MI | |
| Hematology & Oncology Physician | 207RH0003X | 16017 | ND | Primary |
Addresses
Primary practice location
222 N 7TH St
Bismarck, ND 58501-4436
Mailing address
603 Lansing Ave
Jackson, MI 49202-3209
Phone (517) 787-8371
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00155197 | Other | MI | RR MEDICARE - WA FOOTE |
| 101591580 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- 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
- Internal Medicine
- Education
- University of Michigan Medical School, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
603 Lansing Ave
Jackson, MI 49202-3209
Phone (517) 787-8371
Hospital & facility affiliations
- Henry Ford Allegiance Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 430104282 | MI | MD | Internal Medicine Physician |
| 16017 | ND | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| W.a. Foote Memorial Hospital, Inc | Internal Medicine | Current | Accepting new patients |
| Community Health Center of Branch County | Hematology & Oncology | Current | Accepting new patients |
| Community Health Center of Branch County | Current | Accepting new patients | |
| Community Health Center of Branch County | Internal Medicine | Current | Accepting new patients |
| Regio T Penna MD, PC | Current | Accepting new patients | |
| Community Health Center of Branch County | Internal Medicine | Current | Accepting new patients |
| W. a. Foote Memorial Hospital, Inc | Internal Medicine | Current | Accepting new patients |
| Wa Foote Memorial Hospital, Inc | Current | Accepting new patients |
Locations
274 E Chicago St
Coldwater, MI 49036
Phone (517) 279-5400
205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730
Interoperability endpoints
- dbankole462667@direct.hfhs.org
- doladelebankole565389@direct.centracare.com
Organizations & group practices 9
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.
-
- Hematology & Oncology Physician
- Jackson, MI
- NPI 1649469743
-
- General Practice Physician
- Coldwater, MI
- NPI 1124055009
Internal Medicine
-
- Internal Medicine Physician
- Jackson, MI
- NPI 1760437826
-
- Nurse Practitioner
- Jackson, MI
- NPI 1629000708
-
- Hematology & Oncology Physician
- Coldwater, MI
- NPI 1215964192
-
- Internal Medicine Physician
- Coldwater, MI
- NPI 1306873286
-
- Pediatric Adolescent Medicine Physician
- Coldwater, MI
- NPI 1619304458
-
- Specialist
- Coldwater, MI
- NPI 1245213537
-
- Internal Medicine Physician
- Jackson, MI
- NPI 1699212803
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jackson, MI
- NPI 1053403402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571616000000",
"number": "1083670087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "603 LANSING AVE",
"city": "JACKSON",
"state": "MI",
"postal_code": "492023209",
"telephone_number": "517-787-8371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 N 7TH ST",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585014436",
"telephone_number": "701-323-5422",
"fax_number": "701-323-8645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLADELE-BANKOLE",
"first_name": "DAVID",
"middle_name": "OLATEJU",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2019-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "430104282",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "ND",
"license": "16017",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE - WA FOOTE",
"identifier": "P00155197",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101591580",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bismarck, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; 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.