Active NPI
Coleman Obasaju, MD
- Medical Oncology Physician
- Carmel, IN
National Provider Identifier
1346515665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- 01068323A
- Practice address
- 12098 Ashcroft PL
Carmel, IN 46032-8901 - Phone
- (317) 727-4391
- NPI assigned
- Mar 20, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | 01068323A | IN | Primary |
Addresses
Primary practice location
12098 Ashcroft PL
Carmel, IN 46032-8901
Mailing address
12098 Ashcroft PL
Carmel, IN 46032-8901
Phone (317) 727-4391
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01068323A | IN | MD | Medical Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332201600000",
"number": "1346515665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12098 ASHCROFT PL",
"city": "CARMEL",
"state": "IN",
"postal_code": "460328901",
"telephone_number": "317-727-4391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12098 ASHCROFT PL",
"city": "CARMEL",
"state": "IN",
"postal_code": "460328901",
"telephone_number": "317-727-4391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBASAJU",
"first_name": "COLEMAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-20",
"last_updated": "2012-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "IN",
"license": "01068323A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.