Olaide Omowonuola Abiodun, MD

Primary specialty

Phlebology PhysicianTaxonomy code 202K00000X

License

50099 Issued in AZ

Practice address

4111 E Valley Auto Dr Ste 210
Mesa, AZ 85206-4609

Phone

(480) 630-2886

Fax

(480) 378-8124

NPI assigned

Jul 17, 2012

Last updated

Sep 27, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

HospitalistAlso: Internal Medicine

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

NA Vein Group LLCGroup PAC ID 1557775863, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• NA Vein Group LLC

  dba Elite Vein Clinic

  • Phlebology Physician
  • Phoenix, AZ
  • NPI 1073138228
  Medicare reassignment Care Compare group NPD
• CH Specialty Services Az LLC

  • Internal Medicine Physician
  • Surprise, AZ
  • NPI 1982303392
  Medicare reassignment NPD
• Curana Health of Arizona

  • Internal Medicine Physician
  • Surprise, AZ
  • NPI 1467187237
  Medicare reassignment NPD

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790467200000",
    "number": "1316292121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1641 E OSBORN RD STE 4",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167146",
            "telephone_number": "480-630-2886",
            "fax_number": "480-378-8124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 E VALLEY AUTO DR STE 210",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064609",
            "telephone_number": "480-630-2886",
            "fax_number": "480-378-8124"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5656 S Power Rd Ste 132",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852958490",
            "country_code": "US",
            "telephone_number": "480-630-2886",
            "fax_number": "480-378-8124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABIODUN",
        "first_name": "OLAIDE",
        "middle_name": "OMOWONUOLA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-17",
        "last_updated": "2026-09-27",
        "certification_date": "2026-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "50099",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AZ",
            "license": "50099",
            "primary": false
        },
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "AZ",
            "license": "50099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "052491",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Esteban M Abella, MD
• Karam Rabih Abi Karam, DO
• Abide Home Health Care LLC
• Ability Home Health Care Agency LLC
• Ramez Naim Abilmona, DMD
• Able Transit LLC
• Gamal Aboul-Nasr, MD
• Yusuf Manuel Aboul-Nasr
• Above & Below LLC (Vital Choice Specialty Pharmacy)
• Above & Below LLC (Vital Choice Specialty Pharmacy)

• Phlebology Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Phlebology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2026; 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.