Active NPI
Sunday Damilola Ogunde, M.D
- Nephrology Physician
- Nashville, TN
National Provider Identifier
1215250295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 58941
- Practice address
- 1005 Dr DB Todd Jr Blvd
Nashville, TN 37208-3501 - Phone
- (615) 327-6000
- NPI assigned
- Mar 5, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | MD447017 | PA | |
| Nephrology Physician | 207RN0300X | 58941 | TN | Primary |
Addresses
Primary practice location
1005 Dr DB Todd Jr Blvd
Nashville, TN 37208-3501
Mailing address
1005 Dr DB Todd Jr Blvd
Nashville, TN 37208-3501
Phone (615) 327-6000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q048783 | Other | TN | MEDICAID |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | http://www.mmc.edu/education/som/academicdepartments/somclinicaldepartments/obgyn/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58941 | TN | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meharry Medical College | Current | Accepting new patients | |
| Hospital Medicine Services of Tennessee PC | Current | Accepting new patients | |
| Windber Hospital, Inc. | Past | Accepting new patients |
Locations
1818 Albion St
Nashville, TN 37208
Phone (615) 341-4000
1005 Dr Db Todd Jr Blvd
Nashville, TN 37208
Phone (615) 327-6000
742 Middle Creek Rd
Sevierville, TN 37862
Phone (865) 429-6100
Organizations & group practices 3
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.
-
- Clinic/Center
- Nashville, TN
- NPI 1205859279
-
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561507200000",
"number": "1215250295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 DR DB TODD JR BLVD",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372083501",
"telephone_number": "615-327-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 DR DB TODD JR BLVD",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372083501",
"telephone_number": "615-327-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OGUNDE",
"first_name": "SUNDAY",
"middle_name": "DAMILOLA",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-05",
"last_updated": "2019-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "PA",
"license": "MD447017",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "TN",
"license": "58941",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID",
"identifier": "Q048783",
"state": "TN"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "http://www.mmc.edu/education/som/academicdepartments/somclinicaldepartments/obgyn/",
"affiliation": "N",
"address_1": "1005 Dr Db Todd Jr Blvd",
"city": "Nashville",
"state": "TN",
"country_code": "US",
"postal_code": "372083501",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; 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.