Individual provider Active NPI

Oluwakemi T Awopetu, M.D.

  • Emergency Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1316107808
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
25MA09247500 Issued in NJ
Practice address
1316 W Ontario St
10TH Floor, Jones Hall
Philadelphia, PA 19140-5220
Phone
(215) 707-7500
NPI assigned
Jun 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD441252 PA
Emergency Medicine Physician 207P00000X 4301105498 MI
Emergency Medicine Physician 207P00000X MT193757 PA
Emergency Medicine Physician 207P00000X 25MA09247500 NJ Primary

Addresses

Primary practice location

1316 W Ontario St
10TH Floor, Jones Hall
Philadelphia, PA 19140-5220

Mailing address

3401 N Broad St
Philadelphia, PA 19140-5103
Phone (215) 707-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, IN, NJ, NY, MI, OH, FL7 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 7

Enrollment IDStateProvider typePAC IDDetails
I20110712000598 PA Practitioner - Emergency Medicine 1456529783 Reassigns benefits to 2 organizations
I20130521000441 IN Practitioner - Emergency Medicine 1456529783 Reassigns benefits to 2 organizations
I20130621000515 NJ Practitioner - Emergency Medicine 1456529783 Reassigns benefits to 4 organizations
I20130711000520 NY Practitioner - Emergency Medicine 1456529783 Reassigns benefits to 3 organizations
I20160331000465 MI Practitioner - Emergency Medicine 1456529783 Reassigns benefits to 3 organizations
I20161007001696 OH Practitioner - Emergency Medicine 1456529783 Reassigns benefits to 3 organizations
I20230508001343 FL Practitioner - Emergency Medicine 1456529783

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Physician Associates of Pennsylvania PCGroup PAC ID 5597663252, 88 clinicians

Practice addresses (Care Compare)

206 E Brown St
East Stoudsburg, PA 18301-3006
Phone (570) 476-3353

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA09247500NJMDEmergency Medicine Physician
MT193757PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana Emergency Professionals PC Emergency Medicine CurrentSince Feb 5, 2013 Accepting new patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince Nov 1, 2019 Accepting new patients
Emergency Care Services of Pennsylvania, P.C. Emergency Medicine CurrentSince Dec 1, 2012 Accepting new patients
Emergency Physician Services of New York, P.C. Emergency Medicine CurrentSince Apr 1, 2013 Accepting new patients
Emergency Physician Services of New Jersey,Professional Association Emergency Medicine CurrentSince Mar 1, 2016 Accepting new patients
Emergency Physician Associates of North Jersey P C Emergency Medicine CurrentSince May 1, 2013 Accepting new patients
Hospitalist Physicians of New Jersey PA CurrentSince Apr 1, 2020 Accepting new patients
Mercy Emergency Care Services, Inc. Emergency Medicine CurrentSince Aug 2, 2016 Accepting new patients
Emergency Physician Associates of South Jersey P C Emergency Medicine CurrentSince Sep 1, 2014 Accepting new patients
Ohio Emergency Care Services, Inc Emergency Medicine CurrentSince Feb 1, 2017 Accepting new patients
Emergency Professionals of Indiana, P.C. Emergency Medicine CurrentSince Mar 5, 2021 Accepting new patients
Emergency Care Services of Pennsylvania, P.C. Emergency Medicine CurrentSince Dec 1, 2012 Accepting new patients
Observation Emergency Physicians, P.C. Emergency Medicine CurrentSince Mar 15, 2024 Accepting new patients
Emergency Physician Associates of Pennsylvania, PC Emergency Medicine CurrentSince Dec 1, 2015 Accepting new patients
Emergency Care Services of New York, P.C. Emergency Medicine CurrentSince Apr 10, 2018 Accepting new patients
Emergency Professionals of Michigan, P.C. Emergency Medicine CurrentSince Feb 22, 2016 Accepting new patients
Emergency Department Physicians, P.C. Emergency Medicine CurrentSince Mar 15, 2024 Accepting new patients

Locations (25 of 33)

2015 Jackson St
Anderson, IN 46016
Phone (765) 646-8243

1116 Millis Ave
Boonville, IN 47601
Phone (812) 897-4800

1710 Lafayette Rd
Crawfordsvlle, IN 47933
Phone (765) 362-2800

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

720 N Lincoln St
Greensburg, IN 47240
Phone (812) 522-2349

1701 S Creasy Ln
Lafayette, IN 47905
Phone (765) 502-4400

1501 Hartford St
Lafayette, IN 47904
Phone (765) 423-6011

411 W Tipton St
Seymour, IN 47274
Phone (317) 888-3505

7300 N Canton Center Rd
Canton, MI 48187
Phone (734) 454-8001

36750 26 Mile Rd
Chesterfield, MI 48047
Phone (586) 879-2000

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

27351 Dequindre Rd
Madison Hts, MI 48071
Phone (248) 967-7000

826 W King St
Owosso, MI 48867
Phone (989) 720-2273

5450 Fort St
Woodhaven, MI 48183
Phone (734) 671-3297

100 Townsend Ave
Berlin, NJ 08009
Phone (856) 322-3000

300 Central Ave
East Orange, NJ 07018
Phone (973) 266-8460

65 James St
Edison, NJ 08820
Phone (732) 321-7010

175 Madison Ave
Mount Holly, NJ 08060
Phone (609) 261-1660

1 Riverview Plz
Red Bank, NJ 07701
Phone (732) 530-2204

99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232

718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232

100 Park St
Glens Falls, NY 12801
Phone (518) 926-5924

321 Genesee St
Oneida, NY 13421
Phone (315) 361-2020

45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131

2209 Genesee St
Utica, NY 13501
Phone (315) 798-8100

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1316107808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191405103",
            "telephone_number": "215-707-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 W ONTARIO ST",
            "address_2": "10TH FLOOR, JONES HALL",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191405220",
            "telephone_number": "215-707-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWOPETU",
        "first_name": "OLUWAKEMI",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-10",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD441252",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301105498",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MT193757",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA09247500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.