Olubukola T Adeyeye, M.D

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

Q8689 Issued in TX

Practice address

500 W Frontier Pkwy Ste 110
Prosper, TX 75078-4291

Phone

(469) 884-7223

Fax

(469) 429-5369

NPI assigned

Dec 2, 2014

Sex

Female

Sole proprietor

No

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.

• 1St Choice Pediatrics

  • Pediatrics Physician
  • Longview, TX
  • NPI 1497179147

  Pediatrics

  NPD (past)
• Christus Good Shepherd Medical Center

  • General Acute Care Hospital
  • Longview, TX
  • NPI 1124092036
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

• Dr. Olubukola T Ajisafe Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 3, 2026.

{
    "created_epoch": "1417478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1275930422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8751 COLLIN MCKINNEY PKWY STE 1102",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750701872",
            "telephone_number": "469-884-7223",
            "fax_number": "469-429-5369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W FRONTIER PKWY STE 110",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750784291",
            "telephone_number": "469-884-7223",
            "fax_number": "469-429-5369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEYEYE",
        "first_name": "OLUBUKOLA",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-02",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "Q8689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "Q8689",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLUBUKOLA",
            "last_name": "AJISAFE",
            "middle_name": "T",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alexandria Aaron, NP
• Dana Aborahma
• Oluwakemi Adepoju
• Anthonia D Adewole, M.D
• Ayotunde Oluwaseun Adeyeye, MD
• Advocate Anesthesia, PLLC
• Aegis Pediatrics, PLLC
• Yagazie Ogechi Aguwa
• Hiba Ahmed
• Hiba Ahmed

• All providers in Prosper, TX
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.