Organization Active NPI

Pioneers Consultants, PLLC

  • Physical Medicine & Rehabilitation Physician
  • Springfield, PA
National Provider Identifier
1275373904
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
PIONEERS CONSULTANTS, PLLC
Practice address
164 W Thompson Ave
Springfield, PA 19064-2111
Phone
(504) 261-6395
NPI assigned
May 30, 2024
Last updated
Jun 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Authorized official

Name
Dr. Babatunde Babalola, MDNPI 1114386463
Title
Physician/Medical Director
Phone
(504) 261-6395

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X Primary
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician 2081P0301X

Addresses

Primary practice location

164 W Thompson Ave
Springfield, PA 19064-2111

Mailing address

164 W Thompson Ave
Springfield, PA 19064-2111
Phone (504) 261-6395

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241125001045 PA Part B Supplier - Clinic/Group Practice 7810422060 Receives reassigned benefits from 1 practitioner
Practice locations: Ridley Park, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1717027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718582400000",
    "number": "1275373904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 W THOMPSON AVE",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190642111",
            "telephone_number": "504-261-6395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 W THOMPSON AVE",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190642111",
            "telephone_number": "504-261-6395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEERS CONSULTANTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-30",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A",
        "authorized_official_last_name": "BABALOLA",
        "authorized_official_first_name": "BABATUNDE",
        "authorized_official_title_or_position": "PHYSICIAN/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "504-261-6395",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2081P0301X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Brain Injury Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.