Omolara Abitoye, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

P2818 Issued in TX

Practice address

2626 S Carrier Pkwy Ste 300
Grand Prairie, TX 75052-5014

Phone

(972) 642-7337

Fax

(972) 642-7339

NPI assigned

Jun 29, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: omolara.abitoye.1@24798.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/24798/brand/1/csg/1/fhir/r4

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.

• Alpha Express Primary Care LLC

  • Family Medicine Physician
  • Grand Prairie, TX
  • NPI 1992671184

  Pediatrics

  Medicare reassignment NPD Authorized official
• Alpha Express Urgent Care

  • Urgent Care Clinic/Center
  • Grand Prairie, TX
  • NPI 1639993801
  Medicare reassignment NPD
• Omolara Abitoye PA Dba Acclaim Pediatrics

  • Pediatrics Physician
  • Grand Prairie, TX
  • NPI 1538400437
  NPD Authorized official

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1386841625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 S CARRIER PKWY STE 300",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750525014",
            "telephone_number": "972-642-7337",
            "fax_number": "972-642-7339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 S CARRIER PKWY STE 300",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750525014",
            "telephone_number": "972-642-7337",
            "fax_number": "972-642-7339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABITOYE",
        "first_name": "OMOLARA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-29",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA08566300",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD438078",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "P2818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abby Medical Supply
• Abc Innovations Healthcare LLC
• Sana Aburahmeh Abdelwahab, PHARMACIST
• Abide Healthcare Services LLC
• Ability Care HCS LLC
• Above and Beyond Personal Home Care LLC
• Jamelia Eniece Abrams, DPM
• Abricare Hospice LLC
• Abricare Inc
• Abundance Medical Solutions

• Pediatrics Physician in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.