Mopileola Tomi Adewumi, DO
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Tulsa, OK
NPI 1316512866 · NPPES record last updated Nov 28, 2022
Key facts
- NPI
- 1316512866
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 1111 W 17TH St
Tulsa, OK 74107-1886 - Phone
- (918) 599-1000
- NPI assigned
- May 26, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220516002643 | TX | Order and Referring Only - Otolaryngology |
2668859406 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fmat Limited Company | Current | Accepting new patients |
Interoperability endpoints
- madewumi1077791@direct.sw.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
1111 W 17TH St
Tulsa, OK 74107-1886
Mailing address
2401 S 31St St Dept of
Temple, TX 76508-0001
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://osumc.com/ |
Other providers in Tulsa, OK
- Omotade Ademoye
- Oluwaseyi Osaro Adeoye
- Maria Adeshina
- Amos Adesokan
- Emmanuel Adesokan
- Samuel Shyam Adhikari
- Marjan Adib-Yazdi
- Ashwin Adivi
- Asharel Monique Adkins
- Megan Michelle Adkins
All providers in Tulsa, OK · Student in an Organized Health Care Education/Training Program in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 28, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.