Active NPI
Mojisola M Ogunbuyide, C.R.N.A.
- Certified Registered Nurse Anesthetist
- Palos Heights, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209007332
- Practice address
- 12251 S 80TH Ave
Palos Heights, IL 60463-1290 - Phone
- (708) 923-4000
- Fax
- (708) 923-8848
- NPI assigned
- Nov 19, 2008
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 209007332 | IL | Primary |
Addresses
Primary practice location
12251 S 80TH Ave
Palos Heights, IL 60463-1290
Mailing address
12251 S 80TH Ave
Palos Heights, IL 60463-1290
Phone (708) 923-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12251 S 80TH Ave
Palos Heights, IL 60463-1290
675 N Saint Clair St
Chicago, IL 60611-5975
675 N St Clair
Chicago, IL 60611-5975
Hospital & facility affiliations
- Palos Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Midwest Anesthesia Partners, LLC | Current | Accepting new patients | |
| Ucm Medical Group Sub, LLC | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Central Dupage Physician Group | Past | Accepting new patients | |
| City of Hope Medical Group of Illinois PLLC | Past | Accepting new patients |
Locations
Dept 5777
Carol Stream, IL 60122
2900 N Lakeshore
Chicago, IL 60657
Phone (773) 665-3240
27702 Network Pl
Chicago, IL 60673
1 Ingalls Dr
Harvey, IL 60426
Phone (708) 333-2300
17800 Kedzie Ave
Hazel Crest, IL 60429
Phone (708) 213-4200
660 N Westmoreland Rd
#302
Lake Forest, IL 60045
701 W North Ave
Melrose Park, IL 60160
Phone (708) 450-5779
515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870
12251 S 80th Ave
Palos Heights, IL 60463
Phone (708) 361-4500
6701 159th St
Tinley Park, IL 60477
Phone (708) 429-0222
Interoperability endpoints
- mogunbuyide224584@uchospital.direct-ci.com
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
-
- Anesthesiology Physician
- Chicago, IL
- NPI 1255380184
-
- Family Medicine Physician
- Harvey, IL
- NPI 1467442293
-
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1417718479
-
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
-
- Specialist
- Zion, IL
- NPI 1548258072
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Palos Heights, IL
- NPI 1184699118
-
- General Acute Care Hospital
- Palos Heights, IL
- NPI 1851386692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628121600000",
"number": "1194970020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12251 S 80TH AVE",
"city": "PALOS HEIGHTS",
"state": "IL",
"postal_code": "604631290",
"telephone_number": "708-923-4000",
"fax_number": "708-923-8848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12251 S 80TH AVE",
"city": "PALOS HEIGHTS",
"state": "IL",
"postal_code": "604631290",
"telephone_number": "708-923-4000",
"fax_number": "708-923-8848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OGUNBUYIDE",
"first_name": "MOJISOLA",
"middle_name": "M",
"credential": "C.R.N.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-19",
"last_updated": "2021-08-05",
"certification_date": "2021-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209007332",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palos Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.