Active NPI
Lawson Olumide Ishalaiye
- Internal Medicine Physician
- Brandon, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- U9275
- Practice address
- 119 Oakfield Dr
Brandon, FL 33511-5779 - Phone
- (813) 681-5551
- NPI assigned
- Mar 23, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | U9275 | TX | Primary |
Addresses
Primary practice location
119 Oakfield Dr
Brandon, FL 33511-5779
Mailing address
119 Oakfield Dr
Brandon, FL 33511-5779
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1501 S Coulter St
Northwest Texas Heatlhcare System
Amarillo, TX 79106-1770
Phone (806) 354-1000
18951 N Memorial Dr
Humble, TX 77338-4217
Phone (281) 319-8409
2600 Saint Michael Dr
Texarkana, TX 75503-5220
Phone (903) 614-5110
Hospital & facility affiliations
- Northwest Texas Hospital
- Memorial Hospital
- Golden Plains Community Hospital
- Southwest Medical Center
- Dr Dan C Trigg Memorial Hospital
- Northwest Texas Healthcare Sys
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.55 of 100
- Quality
- 70.56
- Improvement activities
- 40
- Cost
- 72.48
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| U9275 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Usacs Integrated Acute Care Services of Texas, PLLC | Internal Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Texas, PLLC | Internal Medicine | Current | Accepting new patients |
| HCC of Laredo LLC | Internal Medicine | Current | Accepting new patients |
| Northwest Texas Healthcare System Inc | Past | Accepting new patients |
Locations
3501 Mills Ave
Austin, TX 78731
Phone (512) 324-1017
18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409
260 Cully Dr
Kerrville, TX 78028
Phone (830) 258-7323
1700 E Saunders St
Laredo, TX 78041
Phone (956) 206-6971
2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Humble, TX
- NPI 1629307095
-
- Internal Medicine Physician
- Laredo, TX
- NPI 1942712252
-
- Internal Medicine Physician
- Cedar Park, TX
- NPI 1801300322
-
- General Acute Care Hospital
- Amarillo, TX
- NPI 1467442418
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Borger, TX
- NPI 1841497153
-
- Critical Access Hospital
- Dumas, TX
- NPI 1700991700
-
- Rehabilitation Hospital Unit
- Amarillo, TX
- NPI 1356777502
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Amarillo, TX
- NPI 1467442418
-
- Critical Access Hospital
- Tucumcari, NM
- NPI 1962488304
-
- General Acute Care Hospital
- Liberal, KS
- NPI 1538109251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709683200000",
"number": "1164008728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 OAKFIELD DR",
"city": "BRANDON",
"state": "FL",
"postal_code": "335115779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 OAKFIELD DR",
"city": "BRANDON",
"state": "FL",
"postal_code": "335115779",
"telephone_number": "813-681-5551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISHALAIYE",
"first_name": "LAWSON",
"middle_name": "OLUMIDE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-23",
"last_updated": "2024-03-06",
"certification_date": "2024-03-06",
"status": "A"
},
"taxonomies": [
{
"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": "U9275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.