Individual provider Active NPI

Sunday Damilola Ogunde, M.D

  • Nephrology Physician
  • Nashville, TN
National Provider Identifier
1215250295
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
58941 Issued in TN
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

Updated by the provider on Jun 26, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
Q048783OtherTNMEDICAID

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190628002853 TN Practitioner - NephrologyPractitioner - Internal Medicine 2264749761 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58941TNMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Meharry Medical College CurrentSince Jun 1, 2019 Accepting new patients
Hospital Medicine Services of Tennessee PC CurrentSince Nov 6, 2020 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.

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

Verify at the official NPI Registry.