Oluwatosin Aishat Balogun

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1035445 Issued in TX

Practice address

26750 FM 1093 Rd Ste 170
Richmond, TX 77406-2786

Phone

(281) 875-8428

NPI assigned

Jan 2, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, TX2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Allergy and ENT Associates PLLCGroup PAC ID 4688660715, 31 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: oluwatosin.balogun@krogerhealth.eclinicaldirectplus.com

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.

• Allergy & ENT Associates, PLLC

  • Allergy & Immunology Physician
  • Lake Jackson, TX
  • NPI 1902820368
  Medicare reassignment Care Compare group NPD
• Allergy & ENT Associates, PLLC

  • Allergy & Immunology Physician
  • Cypress, TX
  • NPI 1912085218
  NPD
• Austin Family Allergy & Asthma, PA

  • Allergy & Immunology Physician
  • Austin, TX
  • NPI 1578625190
  NPD
• TLC of Georgia LLC

  • Family Nurse Practitioner
  • Jefferson, GA
  • NPI 1750677241
  NPD

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

{
    "created_epoch": "1609545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1205424694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 GEARS RD STE 450",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770674542",
            "telephone_number": "281-874-0212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26750 FM 1093 RD STE 170",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774062786",
            "telephone_number": "281-875-8428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALOGUN",
        "first_name": "OLUWATOSIN",
        "middle_name": "AISHAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-02",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1035445",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9387682",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN301656",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Ann Ballesteros
• Balm Love Care LLC
• Balm of Care Incorporated
• Alfred Ayowole Balogun
• Olayinka A Balogun
• Isabel Bamawo
• Leonard Bampikaho
• Andrew Bancayan, SA-C
• Banjo Atinuke & Nadia Akinbowale
• Debbie Banks

• Family Nurse Practitioner in Richmond, TX
• Providers in Richmond, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.

Verify at the official NPI Registry.