Individual provider Active NPI

Ezekiel Aderemi Osuntogun, MD

  • Obstetrics & Gynecology Physician
  • Tampa, FL
National Provider Identifier
1386804334
Registry record updated Jan 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME106194 Issued in FL
Practice address
13601 Bruce B Downs Blvd
Suit 121
Tampa, FL 33613-4657
Phone
(813) 454-1113
Fax
(813) 454-1114
NPI assigned
Jun 12, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X ME106194 FL
Obstetrics & Gynecology Physician 207V00000X ME106194 FL Primary

Addresses

Primary practice location

13601 Bruce B Downs Blvd
Suit 121
Tampa, FL 33613-4657

Mailing address

PO Box 46577
Tampa, FL 33646-0105
Phone (813) 727-2650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20140224000689 FL Practitioner - Obstetrics/Gynecology 0547490385 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME106194FLMDAddiction Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Nov 25, 2015 Accepting new patients
Women'S Care Florida LLC Obstetrics & Gynecology CurrentSince Dec 5, 2017 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology Current Accepting new patients
DHP of Manatee PA Obstetrics & Gynecology CurrentSince Mar 1, 2020 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Nov 25, 2015 Accepting new patients
Florida Hospital Physician Group Inc Obstetrics & Gynecology CurrentSince Mar 16, 2014 Accepting new patients
Womens' Health Hospitalists, LLC Obstetrics & Gynecology CurrentSince Dec 5, 2017 Accepting new patients
Hospitalist OB GYN LLC Obstetrics & Gynecology Past Accepting new patients
Anil M Bhatia MD PA PastSince Aug 3, 2025 Accepting new patients

Locations

401 Oakfield Dr
Brandon, FL 33511
Phone (813) 467-4725

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

3100 SW 62nd Ave
Miami, FL 33155
Phone (305) 669-5873

1901 SW 172nd Ave
Miramar, FL 33029
Phone (954) 276-5401

1500 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-7500

703 N Flamingo Rd
Pembroke Pnes, FL 33028
Phone (954) 436-5000

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

3100 E Fletcher Ave
Tampa, FL 33613
Phone (813) 615-7200

2818 W Virginia Ave
Tampa, FL 33607
Phone (813) 872-8551

3030 W Mlk Blvd
Tampa, FL 33607
Phone (813) 870-4000

4030 W Boy Scout Blvd
Ste 800
Tampa, FL 33607
Phone (813) 286-0333

13601 Bruce B Downs Blvd
Ste 121
Tampa, FL 33613
Phone (813) 977-2090

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547510400000",
    "number": "1386804334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 46577",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336460105",
            "telephone_number": "813-727-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13601 BRUCE B DOWNS BLVD",
            "address_2": "SUIT 121",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134657",
            "telephone_number": "813-454-1113",
            "fax_number": "813-454-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSUNTOGUN",
        "first_name": "EZEKIEL",
        "middle_name": "ADEREMI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-12",
        "last_updated": "2019-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "FL",
            "license": "ME106194",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME106194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.