Organization Active NPI

Oladayo a Sanusi MD PA

  • Specialist
  • San Benito, TX
National Provider Identifier
1285732230
Registry record updated Jan 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
OLADAYO A SANUSI MD PA
Practice address
400 W US Highway 77
San Benito, TX 78586-5148
Phone
(956) 364-0200
Fax
(956) 364-0206
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2019

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

Authorized official

Name
Dr. Oladayo A Sanusi, MD
Title
Medical Director
Phone
(956) 364-0200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

400 W US Highway 77
San Benito, TX 78586-5148

Mailing address

400 W US Highway 77
San Benito, TX 78586-5148
Phone (956) 364-0200

Other identifiers 1

IdentifierTypeStateIssuer
1800591MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548633600000",
    "number": "1285732230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W US HIGHWAY 77",
            "city": "SAN BENITO",
            "state": "TX",
            "postal_code": "785865148",
            "telephone_number": "956-364-0200",
            "fax_number": "956-364-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W US HIGHWAY 77",
            "city": "SAN BENITO",
            "state": "TX",
            "postal_code": "785865148",
            "telephone_number": "956-364-0200",
            "fax_number": "956-364-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLADAYO A SANUSI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2019-01-28",
        "status": "A",
        "authorized_official_last_name": "SANUSI",
        "authorized_official_first_name": "OLADAYO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "956-364-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1800591",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Benito, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2019; 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.