Olubukola Opeyemi Olla, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

MT200404 Issued in PA

Practice address

401 S 16TH St
Apt 4F
Philadelphia, PA 19146-1661

Phone

(201) 407-8764

NPI assigned

Jul 20, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, AZ2 enrollments

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 2

Specialty

Anesthesiology

Education

Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ias Arizona PLLCGroup PAC ID 7517312648, 122 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tucson Medical Center Hospital, Tucson, AZ, CCN 030006

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as group

Quality

0

Improvement activities

0

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Ias Arizona PLLC

  • Anesthesiology Physician
  • Tucson, AZ
  • NPI 1689359747
  Medicare reassignment Care Compare group NPD
• Anesthesia Associates of Morristown PA

  • Specialist
  • Morristown, NJ
  • NPI 1922057678
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Tucson Medical Center

  • General Acute Care Hospital
  • Tucson, AZ
  • NPI 1174512792
  Care Compare affiliation

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

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311120000000",
    "number": "1144518481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 SOUTH 16TH STREET",
            "address_2": "APT 4F",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191461661",
            "telephone_number": "201-407-8764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S 16TH ST",
            "address_2": "APT 4F",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191461661",
            "telephone_number": "201-407-8764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLLA",
        "first_name": "OLUBUKOLA",
        "middle_name": "OPEYEMI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-20",
        "last_updated": "2011-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MT200404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Nicole Olivieri, RNFA
• Suzanne P Olivieri, MD
• Carmen Olivo Quezada, MA
• Danuta Olkowska, M.D.
• Sara Louise Olkowski, AGACNP-BC
• Darbentz Olmand
• Matthew Philip Olmes, D.M.D
• Crystalina Olmo
• Katherine Olmstead, CRNP
• Alisa Olmsted

• Anesthesiology Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Anesthesiology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; 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.

Verify at the official NPI Registry.