Iyabode Munirat Ogunlade, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

M8471 Issued in TX

Practice address

13523 Hargrave Road
Pristine OB-GYN Care
Houston, TX 77070

Phone

(281) 206-4496

Fax

(281) 206-4487

NPI assigned

Jun 15, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Iyabode Munirat Agboola Former name

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

Specialty

Obstetrics/Gynecology

Education

New York University School of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pristine OB-GYN Care PLLCGroup PAC ID 8527221662, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Pristine OB-GYN Care PLLC

  • Medical Specialty Clinic/Center
  • Houston, TX
  • NPI 1346514619
  Medicare reassignment Care Compare group NPD Authorized official
• Pristine Pediatrics & Family Medicine Clinic LLC

  • Pediatrics Physician
  • Houston, TX
  • NPI 1427521525
  Medicare reassignment NPD Authorized official
• Pristine Birth & Wellness Center LLC

  • Obstetrics & Gynecology Physician
  • Spring, TX
  • NPI 1215446497
  NPD (past) Authorized official
• Brazos Medical Associates

  • Obstetrics & Gynecology Physician
  • College Station, TX
  • NPI 1790718419
  NPD (past)
• CC HMS TX, PLLC

  • Hospitalist Physician
  • College Station, TX
  • NPI 1659851293
  NPD (past)
• Jonathan a. Friedman, M.D., PLLC

  • Physician Assistant
  • Bryan, TX
  • NPI 1629127212
  NPD (past)

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

{
    "created_epoch": "1245024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1366679573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13523 HARGRAVE ROAD",
            "address_2": "PRISTINE OB-GYN CARE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77070",
            "telephone_number": "281-206-4496",
            "fax_number": "281-206-4487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13523 HARGRAVE ROAD",
            "address_2": "PRISTINE OB-GYN CARE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77070",
            "telephone_number": "281-206-4496",
            "fax_number": "281-206-4487"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6617 Fm 2920 Rd",
            "address_purpose": "LOCATION",
            "city": "Spring",
            "state": "TX",
            "postal_code": "773792636",
            "country_code": "US",
            "telephone_number": "281-206-4496",
            "fax_number": "281-206-4487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OGUNLADE",
        "first_name": "IYABODE",
        "middle_name": "MUNIRAT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "M8471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207569903",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IYABODE",
            "last_name": "AGBOOLA",
            "middle_name": "MUNIRAT",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Caroline Jokotola Ogungbayi
• Ayodele Ademola Ogungbire, PT, DPT
• Esther Titilayo Ogunjimi, LCSW
• Yetunde Christiana Ogunjumelo, ARPN-CNP
• Adebisi Ogunkelu
• Monsuart A Ogunlana, D.O
• Abimbola Ogunleye, MSN, APRN, FNP-BC
• Adenike Nicole Ogunleye, CRNA
• Christianah Ogunleye, MD
• Kehinde O Ogunmakin, M.D

• Obstetrics & Gynecology Physician in Houston, TX
• Providers in Houston, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.

Verify at the official NPI Registry.