Tope Olowo, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

S5239 Issued in TX

Practice address

1602 Hill St
Bastrop, TX 78602-2599

Phone

(512) 772-4887

NPI assigned

Jul 20, 2017

Last updated

Sep 28, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Specialty

Pediatric Medicine

Education

Other, 2012

Medicare assignment

May accept Medicare assignment

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.

• Peoples Community Clinic Inc

  • Clinic/Center
  • Austin, TX
  • NPI 1598896391

  Single Specialty

  Medicare reassignment NPD
• Community Health Centers of South Central Texas, Inc.

  dba Bastrop ISD Health Center

  • Federally Qualified Health Center (FQHC)
  • Bastrop, TX
  • NPI 1407406333
  NPD
• People's Community Clinic, Inc.

  dba People's Community Clinic Off-Site Clinic at Manor

  • Federally Qualified Health Center (FQHC)
  • Manor, TX
  • NPI 1083019905
  NPD
• Community Health Centers of South Central Texas Inc.

  dba Bastrop Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Bastrop, TX
  • NPI 1629471875
  NPD (past)

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

{
    "created_epoch": "1500508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1295258275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1890",
            "city": "GONZALES",
            "state": "TX",
            "postal_code": "786291390",
            "telephone_number": "830-672-6511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 HILL ST",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786022599",
            "telephone_number": "512-772-4887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3533 S Alameda St",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784111721",
            "country_code": "US",
            "telephone_number": "979-721-0799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLOWO",
        "first_name": "TOPE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-20",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "BP10059153",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "S5239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neal Spears, MD PA
• Alicia E. Nunn-Elam, CPW
• Oakbend Medical Center (Windsor Nursing and Rehabilitation Center of Bastrop)
• Dinah Olguin Carlisle, RNFA
• Rosa Esmeralda Olivares, LCSW-S
• One Health
• One Smile Dental PLLC
• Tracey Ortega, PHARMD
• Ortho 360, LLP (Bastrop Orthodontics)
• Ortholonestar, PLLC (Texas Orthopedics, Sports & Rehabilitation Associates)

• Pediatrics Physician in Bastrop, TX
• Providers in Bastrop, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.