Individual provider Active NPI

Adewale Bamidele Ogunoye, DO

  • Internal Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1144717422
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
T0877 Issued in TX
Practice address
1300 W Terrell Ave Ste K230
Fort Worth, TX 76104-3104
Phone
(469) 233-6840
Fax
(817) 598-4799
NPI assigned
Apr 22, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 1144717422 TX
Hospitalist Physician 208M00000X T0877 TX
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X T0877 TX Primary

Addresses

Primary practice location

1300 W Terrell Ave Ste K230
Fort Worth, TX 76104-3104

Mailing address

713 E Anderson St
Weatherford, TX 76086-5705
Phone (682) 803-3381

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ, LA, OK, GA5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20211018000248 TX Practitioner - Internal Medicine 0345599510 Reassigns benefits to 8 organizations
I20240708001944 AZ Practitioner - Internal Medicine 0345599510 Reassigns benefits to 1 organization
I20240923001491 LA Practitioner - Internal Medicine 0345599510 Reassigns benefits to 1 organization
I20260504004953 OK Practitioner - Internal Medicine 0345599510 Reassigns benefits to 1 organization
I20260507003377 GA Practitioner - Internal Medicine 0345599510 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
West Virginia School of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalist Medicine Physicians of Texas PLLCGroup PAC ID 3476688318, 685 clinicians
Apogee Medical Group IncGroup PAC ID 2961314265, 85 clinicians
Comanche County Healthcare CorporationGroup PAC ID 0749192433, 125 clinicians

Practice addresses (Care Compare)

201 Walls Dr
Cleburne, TX 76033-4007
Phone (817) 641-2551

3269 N Stockton Hill Rd
Kingman, AZ 86409-3619
Phone (928) 681-8577

3401 W Gore Blvd
Lawton, OK 73505-6332
Phone (580) 510-7037

Hospital & facility affiliations

  • Northwest Texas Hospital Hospital, Amarillo, TX, CCN 450209
  • Memorial Health Hospital, Lawton, OK, CCN 370056
  • Texas Health Hospital Mansfield Hospital, Mansfield, TX, CCN 670309
  • Kingman Regional Medical Center Hospital, Kingman, AZ, CCN 030055

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1144717422TXMDInternal Medicine Physician
T0877TXMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network Family Medicine Current Accepting new patients
Quantum Emergency Physicians PA Internal Medicine CurrentSince Jul 2, 2024 Accepting new patients
Cogent Healthcare of Texas, PA Family Medicine CurrentSince Jan 30, 2022 Accepting new patients
Healthtexas Provider Network CurrentSince Nov 7, 2022 Accepting new patients
Texas Health Physicians Group Current Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Family Medicine CurrentSince Jan 1, 2022 Accepting new patients
Hni Physician Services of Texas, Inc Family Medicine CurrentSince Feb 1, 2023 Accepting new patients
Texas Health Physicians Group Family Medicine CurrentSince Mar 1, 2023 Accepting new patients
Apogee Medical Group Inc Internal Medicine CurrentSince May 23, 2024 Accepting new patients
Apogee Medical Group Inc Internal Medicine CurrentSince May 23, 2024 Accepting new patients
Lonestar Hospital Medicine Associates, PA Internal Medicine CurrentSince Aug 1, 2021 Accepting new patients
Hni Medical Services Family Medicine CurrentSince Sep 1, 2023 Accepting new patients
Belle Chasse Physician Services LLC Hospitalist CurrentSince Aug 1, 2024 Accepting new patients
Texas Health Physicians Group CurrentSince Mar 1, 2023 Accepting new patients
Healthtexas Provider Network Family Medicine CurrentSince Nov 7, 2022 Accepting new patients
Northwest Texas Healthcare System Inc Past Accepting new patients
Columbia Valley Healthcare System, L.P. Past Accepting new patients
Comanche County Hospital Authority Past Accepting new patients

Locations (25 of 36)

3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626

101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150

180 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-8284

200 Corporate Blvd
Lafayette, LA 70508

1001 Gause Blvd
Slidell, LA 70458
Phone (985) 280-2200

100 Medical Center Dr
Slidell, LA 70461
Phone (504) 392-3131

2500 Belle Chasse Hwy
Terrytown, LA 70056
Phone (504) 391-5157

1900 Pine St
Abilene, TX 79601
Phone (325) 670-4220

1112 Smith Dr
Alvin, TX 77511
Phone (281) 331-3001

1501 S Coulter St
Amarillo, TX 79106
Phone (800) 354-1150

601 E 15th St
Austin, TX 78701
Phone (512) 324-7868

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

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

201 Walls Dr
Cleburne, TX 76033
Phone (817) 556-5587

3201 W State Highway 22
Corsicana, TX 75110
Phone (903) 654-6800

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

2201 W Lampasas St
Ennis, TX 75119
Phone (469) 256-2458

1300 W Terrell Ave
Ste K230
Fort Worth, TX 76104
Phone (817) 250-7240

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

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

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

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

10700 McPherson Rd
Laredo, TX 78045
Phone (956) 523-2190

Interoperability endpoints

  • Direct secure messaging: aogunoye2293295@direct.ochsner.org
  • Direct secure messaging: aogunoye1857140@direct.texashealth.org

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 6

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": "1524355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1144717422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 E ANDERSON ST",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865705",
            "telephone_number": "682-803-3381",
            "fax_number": "817-598-4799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W TERRELL AVE STE K230",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043104",
            "telephone_number": "469-233-6840",
            "fax_number": "817-598-4799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGUNOYE",
        "first_name": "ADEWALE",
        "middle_name": "BAMIDELE",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-22",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "1144717422",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "T0877",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "T0877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.