Individual provider Active NPI

Olusola Francisca Omoolaye-Onoviran, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Galveston, TX
National Provider Identifier
1144578733
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
Q8589 Issued in TX
Practice address
301 University Blvd
Galveston, TX 77555-0567
Phone
(832) 505-2100
Fax
(281) 337-0704
NPI assigned
Aug 29, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X Q8589 TX Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

301 University Blvd
Galveston, TX 77555-0567

Mailing address

301 University Blvd
Galveston, TX 77555-5302
Phone (832) 505-2100

Other names 1

  • Dr. Olusola Francisca Omoolaye Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 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

Enrollment IDStateProvider typePAC IDDetails
I20160629002930 TX Practitioner - Geriatric MedicinePractitioner - Internal Medicine 7517259120 Reassigns benefits to 1 organization
I20260311001143 TX Practitioner - Internal Medicine 7517259120 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1643 NW 136TH Ave
Sunrise, FL 33323-3091

1643 NW 136TH Ave BLDG H
Sunrise, FL 33323-3091

Hospital & facility affiliations

  • The Lakes at Texas City Nursing home, Texas City, TX, CCN 455490

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Utmb Faculty Group Practice CurrentSince Jun 9, 2016 Accepting new patients
CS Pacs 3 Southwest, LLC CurrentSince Mar 2, 2026 Accepting new patients
NV Pacs 2 LLC CurrentSince Mar 2, 2026 Accepting new patients
Ipc Pac Healthcare Services of Texas PLLC CurrentSince Mar 2, 2026 Accepting new patients
Hamilton County Hospital District Past Accepting new patients

Locations

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

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

Interoperability endpoints

  • Direct secure messaging: oonoviranmbchb30616@direct.utmb.edu

Organizations & group practices 5

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.

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": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1144578733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY BLVD",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775555302",
            "telephone_number": "832-505-2100",
            "fax_number": "281-337-0704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY BLVD",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775550567",
            "telephone_number": "832-505-2100",
            "fax_number": "281-337-0704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMOOLAYE-ONOVIRAN",
        "first_name": "OLUSOLA",
        "middle_name": "FRANCISCA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-29",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "Q8589",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLUSOLA",
            "last_name": "OMOOLAYE",
            "middle_name": "FRANCISCA",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Galveston, TX

Sources for this page

Verify at the official NPI Registry.