NPIMap

Individual provider Active NPI

Babatunde Ojo, M.D.

  • Specialist
  • Fayetteville, NC
National Provider Identifier
1336125707
Registry record updated Jul 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
9901274 Issued in NC
Practice address
1815 Fort Bragg Rd
Fayetteville, NC 28303-6804
Phone
(910) 221-3301
Fax
(910) 221-3302
NPI assigned
Dec 19, 2005
Last updated
Jul 8, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 9901274 NC Primary

Addresses

Primary practice location

1815 Fort Bragg Rd
Fayetteville, NC 28303-6804

Mailing address

1815 Fort Bragg Rd
Fayetteville, NC 28303-6804
Phone (910) 221-3301

Other identifiers 2

IdentifierTypeStateIssuer
891246HMedicaidNC
1246HOtherNCBCBS PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041228000216 NC Practitioner - Internal Medicine 8628035045 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1815 Fort Bragg Rd
Fayetteville, NC 28303-6804
Phone (910) 221-3300

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alpha Medical Center, PA Internal Medicine CurrentSince Jan 6, 2003 Accepting new patients
Cumberland County Hospital System Inc Internal Medicine CurrentSince Jun 19, 2019 Accepting new patients
Cumberland County Hospital System Inc Current Accepting new patients
Cumberland County Hospital System Inc CurrentSince Jun 19, 2019 Accepting new patients

Locations

501 S Poplar St
Elizabethtown, NC 28337
Phone (910) 862-4043

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

1815 Fort Bragg Rd
Fayetteville, NC 28303
Phone (910) 221-3300

Interoperability endpoints

  • Direct secure messaging: babatunde.ojo@amc1815.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/DCFEBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/DCFEBD/Endpoint/DCFEBD

Organizations & group practices 4

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.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310083200000",
    "number": "1336125707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 FORT BRAGG RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283036804",
            "telephone_number": "910-221-3301",
            "fax_number": "910-221-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 FORT BRAGG RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283036804",
            "telephone_number": "910-221-3301",
            "fax_number": "910-221-3302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OJO",
        "first_name": "BABATUNDE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2011-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "9901274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891246H",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "1246H",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.