Bomaonye Tienabeso, MD

Primary specialty

Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X

License

39686 Issued in OK

Practice address

610 S Walnut St
Stillwater, OK 74074-4222

Phone

(405) 533-5058

NPI assigned

Apr 23, 2022

Last updated

Aug 24, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1650672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1225772502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 NW 170TH ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730127410",
            "telephone_number": "405-476-0822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 S WALNUT ST",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744222",
            "telephone_number": "405-533-5058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIENABESO",
        "first_name": "BOMAONYE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-23",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "OK",
            "license": "39686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet A Thompson, AUDIOLOGIST
• Karli Alin Thompson, PA
• Tanner Wilford Thompson, DMD
• Zachary Wade Thompson
• Miao Tian
• Tiger Drug Company (Tiger Drug Co.)
• Tiger Drug Company LTC
• Deborah Tiger, LPC-C
• Jennie Till, RD/LD
• Amber Dawn Tindell, MS, LPC-C

• Sleep Medicine (Internal Medicine) Physician in Stillwater, OK
• Providers in Stillwater, OK by specialty
• Sleep Medicine (Internal Medicine) Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; 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.

Verify at the official NPI Registry.