Active NPI
Oluwatoyin Moyebi, MD/MPH
- Internal Medicine Physician
- Gallup, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD2023-0296
- Practice address
- 1901 Red Rock Dr
Gallup, NM 87301-5683 - Phone
- (505) 863-7000
- Fax
- (505) 863-7330
- NPI assigned
- Feb 7, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | MD2023-0296 | NM | Primary |
Addresses
Primary practice location
1901 Red Rock Dr
Gallup, NM 87301-5683
Mailing address
1700 Grand Concourse Apt 15G
Bronx, NY 10457-7659
Other practice location 1
1650 Grand Concourse
Bronx, NY 10457-7697
Phone (718) 901-8043
Other names 1
- Oluwatoyin Erinle
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rehoboth McKinley Christian Health Care Services, Inc.
Practice addresses (Care Compare)
1901 Red Rock Dr
Gallup, NM 87301-5683
Phone (505) 863-7000
Hospital & facility affiliations
- Rehoboth McKinley Christian Health Care Services
- Gallup Indian Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD2023-0296 | NM | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehoboth McKinley Christian Health Care Services, Inc | Current | Accepting new patients | |
| Rehoboth McKinley Christian Health Care Services, Inc | Internal Medicine | Current | Accepting new patients |
| Rehoboth McKinley Christian Health Care Services, Inc. | Current | Accepting new patients |
Locations
1901 Red Rock Dr
Gallup, NM 87301
Phone (505) 863-7000
Organizations & group practices 3
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.
-
- Critical Access Hospital
- Gallup, NM
- NPI 1689784506
-
- Critical Access Hospital
- Gallup, NM
- NPI 1720084999
-
- Rural Health Clinic/Center
- Gallup, NM
- NPI 1689779860
Internal Medicine
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Health Clinic/Center
- Gallup, NM
- NPI 1689779860
Hospital
-
- Critical Access Hospital
- Gallup, NM
- NPI 1720084999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699574400000",
"number": "1316579352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 GRAND CONCOURSE APT 15G",
"city": "BRONX",
"state": "NY",
"postal_code": "104577659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 RED ROCK DR",
"city": "GALLUP",
"state": "NM",
"postal_code": "873015683",
"telephone_number": "505-863-7000",
"fax_number": "505-863-7330"
}
],
"practiceLocations": [
{
"address_1": "1650 Grand Concourse",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104577697",
"country_code": "US",
"telephone_number": "718-901-8043",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOYEBI",
"first_name": "OLUWATOYIN",
"name_prefix": "Dr.",
"credential": "MD/MPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-07",
"last_updated": "2023-11-10",
"certification_date": "2023-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NM",
"license": "MD2023-0296",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "OLUWATOYIN",
"last_name": "ERINLE",
"credential": "MD/MPH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Gallup, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; 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.