Active NPI
Olutosin Ojugbele, M.D.
- Pediatrics Physician
- Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD17241
- Practice address
- 593 Eddy St
Providence, RI 02903-4923 - Phone
- (401) 444-6195
- Fax
- (401) 444-6378
- NPI assigned
- Apr 23, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD17241 | RI | Primary |
Addresses
Primary practice location
593 Eddy St
Providence, RI 02903-4923
Mailing address
117 Ellenfield St Ste 101
Providence, RI 02905-4541
Phone (401) 444-6779
Other names 1
- Tosin Ojugbele
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD17241 | RI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifespan Corporation | Current | Accepting new patients | |
| Rhode Island Hospital | Current | Accepting new patients | |
| Rhode Island Hospital | Pediatrics | Current | Accepting new patients |
| Rhode Island Hospital | Past | Accepting new patients | |
| Rhode Island Hospital | Past | Accepting new patients |
Locations
593 Eddy St
Ste 9B
Providence, RI 02903
Phone (401) 444-5280
593 Eddy St
Lowr
Providence, RI 02903
Phone (401) 444-4471
593 Eddy St
#921
Providence, RI 02903
Phone (401) 444-3250
593 Eddy St
Ste 5
Providence, RI 02903
Phone (401) 444-3996
117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318
593 Eddy St
Providence, RI 02903
Interoperability endpoints
- oojugbele195233@brownhealth.medalliesdirect.net
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.
-
- Pediatrics Physician
- Providence, RI
- NPI 1861420333
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- NPI 1790221232
-
- General Acute Care Hospital
- Providence, RI
- NPI 1972768174
-
- Transplant Surgery Physician
- Providence, RI
- NPI 1174605208
-
- General Acute Care Hospital
- Providence, RI
- NPI 1588659528
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599091200000",
"number": "1154741643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 ELLENFIELD ST STE 101",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029054541",
"telephone_number": "401-444-6779",
"fax_number": "401-444-6912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "593 EDDY ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029034923",
"telephone_number": "401-444-6195",
"fax_number": "401-444-6378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OJUGBELE",
"first_name": "OLUTOSIN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-23",
"last_updated": "2020-09-03",
"certification_date": "2020-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "RI",
"license": "MD17241",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TOSIN",
"last_name": "OJUGBELE",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.