Individual provider Active NPI

Olabode Hakeem Yusuf, MD

  • Obstetrics & Gynecology Physician
  • Brooklyn, NY
National Provider Identifier
1366094971
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2023-01485 Issued in NC
Practice address
450 Clarkson Avenue
Department of Obstetrics and Gynecology
Brooklyn, NY 11203-2012
Phone
(718) 270-2057
NPI assigned
Jul 13, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 2023-01485 NC Primary

Addresses

Primary practice location

450 Clarkson Avenue
Department of Obstetrics and Gynecology
Brooklyn, NY 11203-2012

Mailing address

450 Clarkson Avenue
Department of Obstetrics and Gynecology
Brooklyn, NY 11203-2012
Phone (718) 270-2057

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20230712004153 NC Practitioner - Obstetrics/Gynecology 2365802048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DLP Central Carolina Medical Group LLCGroup PAC ID 3577840420, 38 clinicians

Practice addresses (Care Compare)

1140 Carthage St
Sanford, NC 27330-4161
Phone (919) 775-2304

Hospital & facility affiliations

  • Central Carolina Hospital Hospital, Sanford, NC, CCN 340020

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Central Carolina Medical Group LLC Current Accepting new patients
DLP Central Carolina Medical Group LLC Obstetrics & Gynecology CurrentSince Aug 25, 2023 Accepting new patients
DLP Central Carolina Medical Group LLC CurrentSince Aug 25, 2023 Accepting new patients
DLP Central Carolina Medical Group LLC Family Medicine Past Accepting new patients

Locations

75 Old Graham Rd
Pittsboro, NC 27312
Phone (919) 542-2731

127 N Steele St
Sanford, NC 27330
Phone (919) 776-7640

1140 Carthage St
Sanford, NC 27330
Phone (919) 775-2304

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Interoperability endpoints

  • Direct secure messaging: olabode.yusuf.1@15593.direct.athenahealth.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 1

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": "1562976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1366094971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 CLARKSON AVENUE",
            "address_2": "DEPARTMENT OF OBSTETRICS AND GYNECOLOGY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032012",
            "telephone_number": "718-270-2057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 CLARKSON AVENUE",
            "address_2": "DEPARTMENT OF OBSTETRICS AND GYNECOLOGY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032012",
            "telephone_number": "718-270-2057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUSUF",
        "first_name": "OLABODE",
        "middle_name": "HAKEEM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-13",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "2023-01485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.