NPIMap

Individual provider Active NPI

Olawale Opeyemi Akinmerese, M.D

  • Family Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1194918649
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MT190402 Issued in PA
Practice address
654 Saint Louis Ave
Fort Worth, TX 76104-3358
Phone
(817) 386-9818
Fax
(817) 386-9821
NPI assigned
Aug 18, 2007
Last updated
Oct 4, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MT190402 PA Primary

Addresses

Primary practice location

654 Saint Louis Ave
Fort Worth, TX 76104-3358

Mailing address

650 Saint Louis Ave
Fort Worth, TX 76104-3346
Phone (817) 386-9818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101216000984 TX Practitioner - Family Practice 9234327222 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fort Worth Internal Medicine PAGroup PAC ID 0749381572, 2 clinicians

Practice addresses (Care Compare)

654 Saint Louis Ave
Fort Worth, TX 76104-3358
Phone (817) 386-9818

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
15.58 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
51.94

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT190402PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arlington Progressive Health Center Inc. CurrentSince Apr 29, 2023 Accepting new patients
Fort Worth Internal Medicine PA CurrentSince Aug 22, 2010 Accepting new patients
At Twilight Hospice & Palliative Care of TX LLC Family Medicine PastSince Sep 1, 2020 Accepting new patients
Coryell County Memorial Hospital Authority Past Accepting new patients
Chambers County Public Hospital District No. 1 Past Accepting new patients
Coryell County Memorial Hospital Authority Past Accepting new patients
Fannin County Hospital Authority Past Accepting new patients

Locations

306 E Randol Mill Rd
Ste 136
Arlington, TX 76011
Phone (817) 224-2292

650 Saint Louis Ave
Fort Worth, TX 76104
Phone (817) 332-4004

Ownership & related parties

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
West Side Campus of CareWhite Settlement, TX, CCN 455592 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jul 3, 2005
Jul 3, 2005
Downtown Health and Rehabilitation CenterFort Worth, TX, CCN 455651 Skilled nursing facility Adp of the SNF Apr 14, 2025
Ft Worth Wellness & RehabilitationFt Worth, TX, CCN 455457 Skilled nursing facility Adp of the SNF Jan 1, 2019
Coral Rehabilitation and Nursing of ArlingtonArlington, TX, CCN 675112 Skilled nursing facility Adp of the SNF Jan 15, 2025
At Twilight Hospice & Palliative CareCarrollton, TX, CCN 971554 Hospice Contracted Managing Employee Mar 1, 2021
Magnolia HospiceArlington, TX, CCN 971614 Hospice Contracted Managing Employee Dec 31, 2023
At Twilight Hospice & Palliative Care of TX LLCCarrollton, TX, CCN 971632 Hospice Contracted Managing Employee Sep 1, 2020

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1187395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317686400000",
    "number": "1194918649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 SAINT LOUIS AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043346",
            "telephone_number": "817-386-9818",
            "fax_number": "817-386-9821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 SAINT LOUIS AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043358",
            "telephone_number": "817-386-9818",
            "fax_number": "817-386-9821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKINMERESE",
        "first_name": "OLAWALE",
        "middle_name": "OPEYEMI",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-18",
        "last_updated": "2011-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT190402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.