Active NPI
Omolara Dasola Kolawole, MD
- Neurology Physician
- Houston, TX
National Provider Identifier
1184398414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- BP10074915
- Practice address
- 6431 Fannin Street
MSB 7.003
Houston, TX 77030-7703 - Phone
- (713) 500-7722
- NPI assigned
- Aug 2, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | BP10074915 | TX | Primary |
Addresses
Primary practice location
6431 Fannin Street
MSB 7.003
Houston, TX 77030-7703
Mailing address
2686 Murworth Dr Apt 1116
Houston, TX 77054-1614
Phone (832) 989-9080
Other names 1
- Omolara Dasola Kolawole
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260428001282 | CA | Order and Referring Only - Epileptologists | 6305313321 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10074915 | TX | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627862400000",
"number": "1184398414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2686 MURWORTH DR APT 1116",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770541614",
"telephone_number": "832-989-9080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6431 FANNIN STREET",
"address_2": "MSB 7.003",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770307703",
"telephone_number": "713-500-7722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLAWOLE",
"first_name": "OMOLARA",
"middle_name": "DASOLA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-02",
"last_updated": "2021-08-02",
"certification_date": "2021-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TX",
"license": "BP10074915",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "OMOLARA",
"last_name": "KOLAWOLE",
"middle_name": "DASOLA",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Houston, TX
- Misozi K Kolala
- Michael Haig Kolandjian, PHARMD, MS
- Sandra O Kolapo, ARNP, FPMHNP-BC
- Jeannette Marie Kolarik, LCSW-S
- Kolawole Ladipo & Deloise Wilson-Ladipo (Deekal Healthcare Services)
- Tolulope Olajumoke Kolawole, RN MSN PMHNP-BC
- Georgina Kolcun, MD
- Evelin Lidiet Kolenc, MSN, APRN-FNP-C
- Rasheedat K Koleosho, PMHNP-BC
- Jessica Helen Kolesar
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; 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.