Babatunde O. Komolafe, MD

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

Q0486 Issued in TX

Practice address

2800 E Broad St Ste 204
Mansfield, TX 76063-6411

Phone

(817) 752-5242

Fax

(817) 752-5232

NPI assigned

May 21, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

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

Cardiovascular Disease (Cardiology)Also: Interventional Cardiology

Education

University of Tennessee, HSC, College of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Heartful Cardiology, PLLCGroup PAC ID 0749694909, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Methodist Mansfield Medical Center Hospital, Mansfield, TX, CCN 670023
• Methodist Midlothian Medical Center Hospital, Midlothian, TX, CCN 670300
• Texas Health Hospital Mansfield Hospital, Mansfield, TX, CCN 670309
• Methodist Dallas Medical Center Hospital, Dallas, TX, CCN 450051

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: komolafe_babatunde@7f324e07.micromddirect.com
• Direct secure messaging: babatunde.komolafe@hca7.eclinicaldirectplus.com

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.

• Heartful Cardiology, PLLC

  • Interventional Cardiology Physician
  • Mansfield, TX
  • NPI 1710583315
  Medicare reassignment Care Compare group NPD Authorized official
• Medvision, L.L.C.

  • Diagnostic Radiology Physician
  • Montgomery, AL
  • NPI 1457508244
  NPD

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

• Methodist Hospitals of Dallas

  dba Methodist Midlothian Medical Center

  • General Acute Care Hospital
  • Midlothian, TX
  • NPI 1487271375
  Care Compare affiliation
• Methodist Hospitals of Dallas

  dba Methodist Dallas Medical Center

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1528027786
  Care Compare affiliation
• Methodist Hospitals of Dallas

  dba Methodist Mansfield Medical Center

  • General Acute Care Hospital
  • Mansfield, TX
  • NPI 1689629941
  Care Compare affiliation
• Texas Health Hospital Mansfield

  • General Acute Care Hospital
  • Mansfield, TX
  • NPI 1356960132
  Care Compare affiliation

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1376752048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 E BROAD ST STE 204",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636411",
            "telephone_number": "817-752-5242",
            "fax_number": "817-752-5232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 E BROAD ST STE 204",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636411",
            "telephone_number": "817-752-5242",
            "fax_number": "817-752-5232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMOLAFE",
        "first_name": "BABATUNDE",
        "middle_name": "O.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "33580",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "Q0486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165521",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "407447803",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Max W Koch
• Dayo Oluwaseun Kolawole, NP
• Carolyn Kollar, D.O.
• Komfot Provider Services LLC (Komfot Provider Services)
• Venkateshwar Reddy Kommidi, DDS
• Minnie Koo, DMD
• Katie Carol Kotzur
• Tammie Joan Kramer, RN FNP
• Davy Krang
• Kroger Texas L P (Kroger Pharmacy)

• Interventional Cardiology Physician in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Interventional Cardiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; 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.