Individual provider Active NPI

Ololade Sule

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1124573688
Registry record updated Jul 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP131664 Issued in TX
Practice address
9105 N Wayside Dr
Houston, TX 77028-1030
Phone
(713) 633-2020
Fax
(713) 636-7193
NPI assigned
Aug 24, 2016
Last updated
Jul 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP131664 TX Primary

Addresses

Primary practice location

9105 N Wayside Dr
Houston, TX 77028-1030

Mailing address

9105 N Wayside Dr
Houston, TX 77028-1030
Phone (713) 633-2020

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220131000909 TX Practitioner - Nurse Practitioner 6709279524 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ut PhysiciansGroup PAC ID 8426960360, 1,744 clinicians

Practice addresses (Care Compare)

6410 Fannin St
Houston, TX 77030-3005

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.11 of 100Reported as group
Quality
69.15
Promoting interoperability
100
Improvement activities
40
Cost
73.63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP131664TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians CurrentSince Jun 13, 2022 Accepting new patients
Able True Care LLC Current Accepting new patients
Ut Physicians CurrentSince Jun 13, 2022 Accepting new patients
Dr. S. M. Rawls MD PLLC CurrentSince Nov 3, 2024 Accepting new patients
Vibrant Comprehensive Services LLC CurrentSince Sep 6, 2023 Accepting new patients
Utmb Faculty Group Practice CurrentSince Jan 21, 2022 Accepting new patients

Locations

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

16310 Tomball Pkwy
Unit 1503
Houston, TX 77064
Phone (832) 301-0700

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

9105 N Wayside Dr
Houston, TX 77028
Phone (713) 633-2020

3223 S Loop 289
Ste 600
Lubbock, TX 79423
Phone (866) 327-5040

2420 Cartwright Rd
Missouri City, TX 77489
Phone (832) 301-0700

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.

Hospital & facility affiliations 1

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": "1471996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656633600000",
    "number": "1124573688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9105 N WAYSIDE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770281030",
            "telephone_number": "713-633-2020",
            "fax_number": "713-636-7193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9105 N WAYSIDE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770281030",
            "telephone_number": "713-633-2020",
            "fax_number": "713-636-7193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULE",
        "first_name": "OLOLADE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-24",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP131664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.