Individual provider Active NPI

Olamide Olu Joshua, MD

  • Family Medicine Physician
  • Flowood, MS
National Provider Identifier
1356705487
Registry record updated Jun 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
T00000 Issued in MS
Practice address
2466 Flowood Dr
Flowood, MS 39232-9019
Phone
(601) 815-5700
Fax
(601) 815-5795
NPI assigned
Apr 5, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X T00000 MS Primary

Addresses

Primary practice location

2466 Flowood Dr
Flowood, MS 39232-9019

Mailing address

2466 Flowood Dr
Flowood, MS 39232-9019
Phone (601) 815-5700

Other practice location 1

4801 Ambassador Caffery Pkwy
Lafayette, LA 70508-6917
Phone (337) 470-2605

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20220331002672 TX Practitioner - Family Practice 9739467317 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Medicine Services of TX, PLLC 376 clinicians
Ucp Physicians of Central Texas, PLLC 99 clinicians

Practice addresses (Care Compare)

12141 Richmond Ave
Houston, TX 77082-2408
Phone (281) 558-3444

1240 E Palm Valley Blvd
Round Rock, TX 78664-3202
Phone (512) 733-9100

2705 Broadway St
Suite 101
Pearland, TX 77581-4915
Phone (281) 412-0508

710 Cypress Creek Pkwy
Houston, TX 77090-3402
Phone (281) 440-1000

7700 Floyd Curl Dr
San Antonio, TX 78229-3902
Phone (210) 575-4000

Hospital & facility affiliations

  • Phoenix Healthcare Services, Inc Home health agency, Houston, TX, CCN 679498
  • Heart to Heart Hospice of West Houston Hospice, Houston, TX, CCN 741624
  • HCA Houston Healthcare Northwest Hospital, Houston, TX, CCN 450638
  • Park Manor of Cypress Station Nursing home, Houston, TX, CCN 675986

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T00000MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ucp Physicians of Central Texas, PLLC CurrentSince Aug 19, 2022 Accepting new patients
Ucp Physicians of Central Texas, PLLC Current Accepting new patients
Hospital Medicine Services of TX, PLLC CurrentSince Aug 1, 2023 Accepting new patients
Houston Northwest Operating Company, LLC Past Accepting new patients

Locations

6001 W William Cannon Dr
Ste 302
Austin, TX 78749
Phone (512) 288-3627

12141 Richmond Ave
Houston, TX 77082
Phone (281) 558-3444

710 FM 1960 Rd W
Houston, TX 77090
Phone (281) 440-1000

1331 Northpark Dr
Kingwood, TX 77339
Phone (281) 359-5330

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

1240 E Palm Valley Blvd
Round Rock, TX 78664
Phone (512) 733-9100

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

Interoperability endpoints

  • Direct secure messaging: olamide.olujoshuamd.p6@direct.nextcare.nextgenshare.com

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1459814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1356705487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2466 FLOWOOD DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329019",
            "telephone_number": "601-815-5700",
            "fax_number": "601-815-5795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2466 FLOWOOD DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329019",
            "telephone_number": "601-815-5700",
            "fax_number": "601-815-5795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4801 Ambassador Caffery Pkwy",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705086917",
            "country_code": "US",
            "telephone_number": "337-470-2605",
            "fax_number": "337-470-4595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLU JOSHUA",
        "first_name": "OLAMIDE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-05",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "T00000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

Verify at the official NPI Registry.