Charles O Olisa, MD

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

MD205030 Issued in LA

Practice address

445 E FM 1382
Suite 3- 265
Cedar Hill, TX 75104

Phone

(469) 744-8844

NPI assigned

Jan 12, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN, LA, TX, MS, CO5 enrollments

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 5

Specialty

Internal Medicine

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hospital Medicine Services of Colorado, LLCGroup PAC ID 9133631351, 73 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Healthone Rose Hospital, Denver, CO, CCN 060032
• HCA-Healthone Dba Swedish Medical Center Hospital, Englewood, CO, CCN 060034

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/R4/

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.

• Hospital Medicine Services of Colorado, LLC

  • Hospitalist Physician
  • Denver, CO
  • NPI 1366242323
  Medicare reassignment Care Compare group NPD
• Hospital Medicine Associates of TX PA

  • Hospitalist Physician
  • Pearland, TX
  • NPI 1538520218

  Internal Medicine

  Medicare reassignment NPD
• Lonestar Hospital Medicine Associates, PA

  • Hospitalist Physician
  • Mansfield, TX
  • NPI 1518237429

  Internal Medicine

  Medicare reassignment NPD
• Baptist Health Medical Group Inc

  • Urgent Care Clinic/Center
  • Louisville, KY
  • NPI 1508269200

  IN

  Medicare reassignment NPD
• Hospitalist Physicians of Indiana, PC

  • Hospitalist Physician
  • Fort Wayne, IN
  • NPI 1306576277

  Internal Medicine

  Medicare reassignment NPD
• LC Hospital Medicine Physicians, LLC

  • Internal Medicine Physician
  • Lake Charles, LA
  • NPI 1417654724
  Medicare reassignment NPD
• North Mississippi Medical Center Inc

  dba Behavioral Health Center

  • Psychologist
  • Tupelo, MS
  • NPI 1972608347
  Medicare reassignment NPD
• Northern Louisiana Emergency Physicians LLP

  dba Northern Louisiana Physicians LLP

  • Hospitalist Physician
  • Ruston, LA
  • NPI 1598995847
  Medicare reassignment NPD
• Northern Louisiana Emergency Physicians, LLP

  dba Northern Louisiana Physicians LLP

  • Emergency Medicine Physician
  • Ruston, LA
  • NPI 1588828172
  Medicare reassignment NPD
• Hni Physician Services of Texas, Inc

  • Internal Medicine Physician
  • Austin, TX
  • NPI 1538729744
  NPD
• Baptist Health Medical Group Inc

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1780961300
  NPD
• Baptist Health Medical Group Inc

  dba Dawson Springs Rural Health Clinic

  • Rural Health Clinic/Center
  • Dawson Springs, KY
  • NPI 1982178216
  NPD

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

• HCA Healthone LLC

  dba HCA HealthONE Rose Hospital

  • General Acute Care Hospital
  • Denver, CO
  • NPI 1023062098
  Care Compare affiliation
• HCA Healthone LLC

  dba HCA HealthONE Swedish Hospital

  • General Acute Care Hospital
  • Englewood, CO
  • NPI 1396790200
  Care Compare affiliation

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1265582837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 E FM 1382",
            "address_2": "SUITE 3 - 265",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751045104",
            "telephone_number": "469-744-8844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 E FM 1382",
            "address_2": "SUITE 3- 265",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "75104",
            "telephone_number": "469-744-8844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "309 Jackson St",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712017407",
            "country_code": "US",
            "telephone_number": "318-966-4541",
            "fax_number": "318-966-4543",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Mary St",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477101658",
            "country_code": "US",
            "telephone_number": "812-450-3036",
            "fax_number": "812-450-2193",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4011 Gateway Blvd",
            "address_purpose": "LOCATION",
            "city": "Newburgh",
            "state": "IN",
            "postal_code": "476308947",
            "country_code": "US",
            "telephone_number": "812-450-3036",
            "fax_number": "812-450-2193",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6300 Main St",
            "address_purpose": "LOCATION",
            "city": "Zachary",
            "state": "LA",
            "postal_code": "707914037",
            "country_code": "US",
            "telephone_number": "225-765-4050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLISA",
        "first_name": "CHARLES",
        "middle_name": "O",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01066108A",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IN",
            "license": "01066108A",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "LA",
            "license": "MD205030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008839400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11948268",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Serah O Ogun, MD
• Omobola Felicia Ojediran, LCSW
• Temitope Ojo, MSN, APRN, FNP-C
• Victoria Sandra Oka
• John Olanrewaju Olaleye, NP
• Adegboyega Omoba, DNP, PMHNP-BC
• Oluwaseun Esther Omoba
• Andy Ononiwu
• Megan Onuong'a, DPT
• Rose Onyancha, RN

• Hospitalist Physician in Cedar Hill, TX
• Providers in Cedar Hill, TX by specialty
• Hospitalist Physician in Texas

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