Individual provider Active NPI

Latifat A. Oyekola, MD

  • Family Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1376756684
Registry record updated Dec 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01073129A Issued in IN
Practice address
6357 Rockville Rd
Indianapolis, IN 46214-3920
Phone
(317) 757-2563
Fax
(317) 405-9970
NPI assigned
May 7, 2007
Last updated
Dec 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E-5732 AR
Family Medicine Physician 207Q00000X 01073129A IN Primary

Addresses

Primary practice location

6357 Rockville Rd
Indianapolis, IN 46214-3920

Mailing address

6357 Rockville Rd
Indianapolis, IN 46214-3920
Phone (317) 757-2563

Other practice location 1

1001 N Madison Ave
Greenwood, IN 46142-4135
Phone (317) 528-7500

Other identifiers 1

IdentifierTypeStateIssuer
201185350MedicaidIN

Other names 1

  • Latifat Adebanke Ogon. Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20131125000947 IN Practitioner - Family Practice 2860557352 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6357 Rockville Rd
Indianapolis, IN 46214-3920
Phone (317) 757-2563

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Family Physicians, Inc. Family Medicine CurrentSince Apr 1, 2016 Accepting new patients
The Health and Hospital Corporation of Marion County Current Accepting new patients
The Health and Hospital Corporation of Marion County CurrentSince Jan 18, 2014 Accepting new patients
Bridge Clinics Behavioral Health LLC CurrentSince Jan 10, 2021 Accepting new patients
Bridge Clinics LLC Family Medicine CurrentSince Jan 11, 2019 Accepting new patients
University Family Physicians, Inc. CurrentSince Apr 1, 2016 Accepting new patients
Eskenazi Medical Group Inc CurrentSince Nov 1, 2013 Accepting new patients
The Health and Hospital Corporation of Marion County CurrentSince Jan 18, 2014 Accepting new patients
Reliantmd Telehealth Group PLLC Family Medicine Past Accepting new patients

Locations

7216 Solutions Ctr
Chicago, IL 60677

1520 N Senate Ave
Indianapolis, IN 46202
Phone (317) 962-0857

250 N Shadeland Ave
Ste 130
Indianapolis, IN 46219
Phone (317) 962-4836

2732 W Michigan St
Indianapolis, IN 46222
Phone (317) 554-4600

3702 E 10th St
Indianapolis, IN 46201
Phone (317) 757-2563

6357 Rockville Rd
Indianapolis, IN 46214
Phone (317) 243-2100

720 Eskenazi Ave
Indianapolis, IN 46202
Phone (317) 880-0000

720 Eskenazi Ave
Fl 2
Indianapolis, IN 46202
Phone (317) 278-5316

720 Eskenazi Ave
Fl 5
Indianapolis, IN 46202
Phone (317) 880-6000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18899/brand/1/csg/1/fhir/r4
  • Direct secure messaging: latifat.oyekola.1@18899.direct.athenahealth.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1376756684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6357 ROCKVILLE RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462143920",
            "telephone_number": "317-757-2563",
            "fax_number": "317-405-9970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6357 ROCKVILLE RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462143920",
            "telephone_number": "317-757-2563",
            "fax_number": "317-405-9970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 N Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "IN",
            "postal_code": "461424135",
            "country_code": "US",
            "telephone_number": "317-528-7500",
            "fax_number": "317-528-7515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OYEKOLA",
        "first_name": "LATIFAT",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-5732",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01073129A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201185350",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LATIFAT",
            "last_name": "OGON.",
            "middle_name": "ADEBANKE",
            "credential": "M.D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.