Benjamin Iyiola Oyefara, M.D.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

12870R Issued in LA

Practice address

2908 Evangeline St
Monroe, LA 71201-3724

Phone

(318) 398-7100

NPI assigned

Jun 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA, TX2 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 2

Specialty

Allergy/Immunology

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Asthma & Allergy Center

  • Allergy & Immunology Physician
  • Monroe, LA
  • NPI 1376660522
  Medicare reassignment NPD Authorized official
• Advanced Asthma & Allergy Practice PLLC

  • Allergy & Immunology Physician
  • Desoto, TX
  • NPI 1700628716
  NPD Authorized official

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1285660589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2908 EVANGELINE ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013724",
            "telephone_number": "318-398-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2908 EVANGELINE ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013724",
            "telephone_number": "318-398-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OYEFARA",
        "first_name": "BENJAMIN",
        "middle_name": "IYIOLA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-25",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "LA",
            "license": "12870R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1548316",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lee Anne Owens
• Nakirria Owens
• Oshea Owens II
• Wilson Owens
• Cameron Owsley
• P & S Surgery Center LLC (P & S Surgical Hospital)
• P & S Surgery Center LLC (P & S Surgical Hospital)
• Annah Baley Pace, COTA/L
• Zoie Pace
• Haley Danielle Padgett

• Allergy & Immunology Physician in Monroe, LA
• Providers in Monroe, LA by specialty
• Allergy & Immunology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.