NPIMap

Individual provider Active NPI

Solomon Babajide Olabiyi, MD

  • Internal Medicine Physician
  • Houlton, ME
National Provider Identifier
1366734170
Registry record updated Apr 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD20407 Issued in ME
Practice address
22 Hartford St
Houlton, ME 04730-1844
Phone
(207) 532-4068
Fax
(207) 532-9426
NPI assigned
May 11, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X MD20407 ME Primary

Addresses

Primary practice location

22 Hartford St
Houlton, ME 04730-1844

Mailing address

22 Hartford St
Houlton, ME 04730-1844
Phone (207) 532-4068

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20150729008132 ME Practitioner - Internal Medicine 8123332509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Morehouse School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Houlton Regional Hospital 59 clinicians

Practice addresses (Care Compare)

20 Hartford St
Houlton, ME 04730-1859

20 Hartford St
Houlton, ME 04730-1891
Phone (207) 532-2900

Hospital & facility affiliations

  • Madigan Home Health Care, Inc. Home health agency, Houlton, ME, CCN 207062
  • Northern Light Home Care & Hospice Home health agency, So Portland, ME, CCN 207020
  • Northern Light Home Care & Hospice Hospice, South Portland, ME, CCN 201502
  • Houlton Regional Hospital Hospital, Houlton, ME, CCN 201308
  • Northern Light a R Gould Hospital Hospital, Presque Isle, ME, CCN 200018
  • Northern Light Eastern Maine Medical Center Hospital, Bangor, ME, CCN 200033
  • St Joseph Hospital Hospital, Bangor, ME, CCN 200001
  • Madigan Estates Nursing home, Houlton, ME, CCN 205083

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Houlton Regional Hospital CurrentSince Jun 24, 2015 Accepting new patients
Houlton Regional Hospital CurrentSince Jun 24, 2015 Accepting new patients
Community Living Association Past Accepting new patients
Maple Grove Nursing Home Inc Past Accepting new patients
Houlton Regional Hospital Past Accepting new patients

Locations

22 Hartford St
Ste 800
Houlton, ME 04730
Phone (207) 532-4068

20 Hartford St
Houlton, ME 04730
Phone (207) 532-2900

22 Hartford St
Houlton, ME 04730
Phone (207) 532-3289

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Houlton Regional HospitalHoulton, ME, CCN 201308 Hospital Corporate Director Mar 1, 2018
Houlton Regional HospitalHoulton, ME, CCN 20Z308 Hospital Corporate Director Mar 1, 2018
Houlton Family PracticeHoulton, ME, CCN 208501 Rural health clinic Corporate Director Mar 1, 2017
Sigrid E Tompkins Health CenterHoulton, ME, CCN 208508 Rural health clinic Corporate Director Mar 1, 2017

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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 8

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": "1305072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429488000000",
    "number": "1366734170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 HARTFORD ST",
            "city": "HOULTON",
            "state": "ME",
            "postal_code": "047301844",
            "telephone_number": "207-532-4068",
            "fax_number": "207-532-9426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 HARTFORD ST",
            "city": "HOULTON",
            "state": "ME",
            "postal_code": "047301844",
            "telephone_number": "207-532-4068",
            "fax_number": "207-532-9426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLABIYI",
        "first_name": "SOLOMON",
        "middle_name": "BABAJIDE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-11",
        "last_updated": "2015-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "MD20407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houlton, ME

Sources for this page

Verify at the official NPI Registry.