NPIMap

Individual provider Active NPI

Bababo O Opaneye, MD

  • Psychiatry Physician
  • Stevens Point, WI
National Provider Identifier
1255621710
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
55460 Issued in WI
Practice address
3398 E Maria Dr
Stevens Point, WI 54481-1362
Phone
(715) 341-7441
NPI assigned
Apr 18, 2011
Last updated
Dec 2, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 55460 WI Primary

Addresses

Primary practice location

3398 E Maria Dr
Stevens Point, WI 54481-1362

Mailing address

3398 E Maria Dr
Stevens Point, WI 54481-1362
Phone (715) 341-7441

Other identifiers 1

IdentifierTypeStateIssuer
55460-20OtherWIWI STATE LICENSE

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ Other
Direct Messaging Address bopaneye342015@direct-ehr-ssmhc.com Direct AGNESIAN HEALTHCARE INC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110526000619 WI Practitioner - Psychiatry 7810174935 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of PortageGroup PAC ID 7416843388, 3 clinicians

Practice addresses (Care Compare)

122 Wilshire Blvd N
Stevens Point, WI 54481-1360
Phone (715) 341-7441

1501 S Madison St
Appleton, WI 54915-1846
Phone (920) 738-2000

1506 S Oneida St
Appleton, WI 54915-1305
Phone (920) 738-2000

2700 W 9TH Ave
Oshkosh, WI 54904-7247

500 S Oakwood Rd
Oshkosh, WI 54904-7944
Phone (920) 223-2000

5409 Vern Holmes Dr
Stevens Point, WI 54482-8853
Phone (715) 344-1600

817 Whiting Ave
Stevens Point, WI 54481-5246
Phone (715) 345-5350

824 Illinois Ave
Stevens Point, WI 54481-3112
Phone (715) 344-1600

900 Illinois Ave
Stevens Point, WI 54481-3114
Phone (715) 346-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
55460WIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Mar 14, 2013 Accepting new patients
Human Services Board Serving North Central Health Care Facility CurrentSince Jan 15, 2018 Accepting new patients
Thedacare, Incorporated CurrentSince Feb 20, 2016 Accepting new patients
Agnesian Healthcare, Inc CurrentSince Mar 7, 2020 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Mar 14, 2013 Accepting new patients
Agnesian Healthcare Inc CurrentSince Mar 7, 2020 Accepting new patients
Thedacare, Incorporated CurrentSince Feb 20, 2016 Accepting new patients
County of Portage CurrentSince Aug 18, 2014 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince May 11, 2011 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince May 11, 2011 Accepting new patients
Ascension Medical Group-Fox Valley Wisconsin, Inc CurrentSince May 10, 2013 Accepting new patients
Ascension Medical Group-Fox Valley Wisconsin, Inc CurrentSince May 10, 2013 Accepting new patients
Human Services Board Serving North Central Health Care Facility CurrentSince Jan 15, 2018 Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

1501 S Madison St
Appleton, WI 54915
Phone (920) 730-4435

1818 N Meade St
Appleton, WI 54911
Phone (920) 731-4101

420 E Division St
Fond du Lac, WI 54935
Phone (920) 923-7400

430 E Division St
Fond du Lac, WI 54935
Phone (920) 926-4200

1095 Midway Rd
Menasha, WI 54952
Phone (920) 720-3700

130 2nd St
Ste 197
Neenah, WI 54956
Phone (920) 729-2030

2700 W 9th Ave
Oshkosh, WI 54904
Phone (920) 223-0220

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074

122 Wilshire Blvd N
Stevens Point, WI 54481
Phone (715) 341-7441

3398 E Maria Dr
Stevens Point, WI 54481
Phone (715) 341-7441

817 Whiting Ave
Stevens Point, WI 54481
Phone (715) 345-5350

900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500

2400 Marshall St
Ste A
Wausau, WI 54403
Phone (715) 848-4600

Interoperability endpoints

  • Direct secure messaging: bopaneye171160@direct.aspirus.org

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1303084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1255621710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3398 E MARIA DR",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544811362",
            "telephone_number": "715-341-7441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3398 E MARIA DR",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544811362",
            "telephone_number": "715-341-7441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPANEYE",
        "first_name": "BABABO",
        "middle_name": "O",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-18",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "55460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WI STATE LICENSE",
            "identifier": "55460-20",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "430 E Division St",
            "city": "Fond Du Lac",
            "state": "WI",
            "country_code": "US",
            "postal_code": "549354560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bopaneye342015@direct-ehr-ssmhc.com",
            "affiliation": "Y",
            "affiliationName": "AGNESIAN HEALTHCARE INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "bopaneye342015@direct-ehr-ssmhc.com",
            "address_1": "430 E Division St",
            "city": "Fond Du Lac",
            "state": "WI",
            "country_code": "US",
            "postal_code": "549354560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stevens Point, WI

Sources for this page

Verify at the official NPI Registry.