Individual provider Active NPI

Opeyemi Adegboyega Falebita, M.D

  • Family Medicine Physician
  • New Braunfels, TX
National Provider Identifier
1104054212
Registry record updated Apr 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
Q2444 Issued in TX
Practice address
160 Creekside Way Ste 602
New Braunfels, TX 78130-6439
Phone
(830) 387-5330
NPI assigned
Jun 26, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101250355 VA
Family Medicine Physician 207Q00000X D0074239 MD
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X Q2444 TX Primary

Addresses

Primary practice location

160 Creekside Way Ste 602
New Braunfels, TX 78130-6439

Mailing address

PO Box 592449
San Antonio, TX 78259-0172
Phone (410) 496-6441

Other identifiers 1

IdentifierTypeStateIssuer
132190100MedicaidMD

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
I20160216001370 TX Practitioner - Family Practice 0446406037 Reassigns benefits to 6 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q2444TXMDFamily Medicine Physician
0101250355VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Texas, PLLC Family Medicine CurrentSince Jan 14, 2017 Accepting new patients
Lonestar Hospital Medicine Associates, PA CurrentSince Jul 1, 2018 Accepting new patients
Hni Medical Services Family Medicine CurrentSince Oct 1, 2016 Accepting new patients
Ipc Healthcare Services of Texas, PLLC CurrentSince Oct 1, 2018 Accepting new patients
St. David's Carenow Urgent Care PLLC Family Medicine CurrentSince Oct 25, 2023 Accepting new patients
Hovah Healthcare P.a Family Medicine CurrentSince Jan 13, 2016 Accepting new patients
Cogent Healthcare of Texas, PA Family Medicine CurrentSince Feb 1, 2019 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

3311 N Lamar Blvd
Austin, TX 78705
Phone (512) 975-7791

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382

5033 W Highway 290
Austin, TX 78735
Phone (512) 265-8980

3801 N Lamar Blvd
Austin, TX 78756
Phone (512) 407-7000

717 Highway 71 W
Ste 500
Bastrop, TX 78602
Phone (512) 332-2273

404 S 8th St
Carrizo Springs, TX 78834
Phone (830) 876-2424

704 Hospital Dr
Carrizo Springs, TX 78834
Phone (830) 876-2424

5001 183A Toll Rd
Ste R100
Cedar Park, TX 78613
Phone (512) 595-7000

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263

2000 Scenic Dr
Georgetown, TX 78626
Phone (512) 863-2117

512 Victoria Ln
Ste 12
Harlingen, TX 78550
Phone (956) 440-6322

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

11800 Astoria Blvd
Pearland, TX 77089
Phone (281) 929-6100

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

2827 Babcock Rd
San Antonio, TX 78229
Phone (210) 253-9955

9150 Huebner Rd
Ste 255
San Antonio, TX 78240
Phone (210) 641-1800

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

6801 Emmett F Lowry Expy
Texas City, TX 77591
Phone (409) 938-5095

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/bfa557fc-696e-49f4-8d78-7cdfe1e82721/

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.

NPI Registry JSON

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

{
    "created_epoch": "1245974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555718400000",
    "number": "1104054212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 592449",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782590172",
            "telephone_number": "410-496-6441",
            "fax_number": "410-496-6448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 CREEKSIDE WAY STE 602",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781306439",
            "telephone_number": "830-387-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALEBITA",
        "first_name": "OPEYEMI",
        "middle_name": "ADEGBOYEGA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-26",
        "last_updated": "2019-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101250355",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0074239",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q2444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132190100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

Verify at the official NPI Registry.