Individual provider Active NPI

Macaulay Aigbe Ojeaga Jr., MD

  • Otolaryngology Physician
  • Austin, TX
National Provider Identifier
1174100796
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
W5477 Issued in TX
Practice address
12221 Renfert Way Ste 110
Austin, TX 78758-5658
Phone
(512) 601-0303
NPI assigned
Mar 28, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X W5477 TX Primary

Addresses

Primary practice location

12221 Renfert Way Ste 110
Austin, TX 78758-5658

Mailing address

7108 N Cynthia St
McAllen, TX 78504-1932
Phone (956) 342-9095

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210726002625 KS Order and Referring Only - OtolaryngologyPractitioner - Otolaryngology 6709289994

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sinus & Snoring Specialists CurrentSince Sep 1, 2026 Accepting new patients
Independent Physicians Network PLLC CurrentSince Sep 1, 2026 Accepting new patients

Locations

12221 Renfert Way
Ste 110
Austin, TX 78758
Phone (512) 596-1424

Interoperability endpoints

  • Direct secure messaging: mojeaga413415@direct.saint-lukes.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1616889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1174100796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7108 N CYNTHIA ST",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785041932",
            "telephone_number": "956-342-9095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12221 RENFERT WAY STE 110",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585658",
            "telephone_number": "512-601-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OJEAGA",
        "first_name": "MACAULAY",
        "middle_name": "AIGBE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-28",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "W5477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.