Individual provider Active NPI

Oluwadamilola Teniola, M.D.

  • Diagnostic Radiology Physician
  • Charlottesville, VA
National Provider Identifier
1396131728
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0101269209 Issued in VA
Practice address
1215 Lee St
Charlottesville, VA 22908-3411
Phone
(434) 924-9400
Fax
(434) 982-1618
NPI assigned
Apr 13, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X R3765 TX
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X 0101269209 VA Primary

Addresses

Primary practice location

1215 Lee St
Charlottesville, VA 22908-3411

Mailing address

PO Box 9007
Charlottesville, VA 22906-9007
Phone (434) 295-1000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address oteniola456225@direct.healthsystem.virginia.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200617000084 VA Practitioner - Diagnostic Radiology 2062834278 Reassigns benefits to 3 organizations
I20210412000932 TX Practitioner - Diagnostic Radiology 2062834278 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Morehouse School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians
Eagle Partners, PLLCGroup PAC ID 9032205752, 170 clinicians

Practice addresses (Care Compare)

100 Medical Dr
Lake Jackson, TX 77566-5674
Phone (713) 461-3573

1110 N Sarah Dewitt Dr
Gonzales Health System
Gonzales, TX 78629-3311
Phone (830) 672-7581

12801 Hacienda RDG
Austin, TX 78738-7652
Phone (713) 461-3573

16906 Southwest Fwy
Sugar Land, TX 77479-2350
Phone (281) 243-1000

17500 W Grand Pkwy S
Sugar Land, TX 77479-2562
Phone (855) 504-4544

6720 Bertner Ave
Houston, TX 77030-2604
Phone (855) 504-4544

701 McClintic Dr
Groesbeck, TX 76642-2128
Phone (254) 729-3281

8010 Ivan Reid Dr
Houston, TX 77040-2556
Phone (405) 923-1296

8780 Hwy 6 B
MH Conv Care Sienna Plantation
Friendswood, TX 77549
Phone (281) 778-1802

921 Gessner Rd
FL 1
Houston, TX 77024-2501
Phone 28187045922120

9418 Gaylord Dr
Houston, TX 77024-3034
Phone (713) 852-2930

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101269209VAMDDiagnostic Radiology Physician
R3765TXMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Virginia Physicians Group CurrentSince Jun 25, 2020 Accepting new patients
University of Virginia Imaging, LLC Diagnostic Radiology CurrentSince Jun 15, 2020 Accepting new patients
University of Virginia Imaging, LLC Diagnostic Radiology Current Accepting new patients
University of Virginia Imaging, LLC Diagnostic Radiology CurrentSince Jun 15, 2020 Accepting new patients
Synergy Radiology Associates PLLC CurrentSince Dec 15, 2021 Accepting new patients
Imaging Associates of New Mexico LLC Diagnostic Radiology CurrentSince Mar 7, 2022 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Feb 2, 2021 Accepting new patients
Eagle Partners, PLLC Diagnostic Radiology CurrentSince May 3, 2022 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Mar 1, 2021 Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients
Blue Ridge Radiologists Inc. Diagnostic Radiology PastSince Jun 25, 2020 Accepting new patients
Community Radiology Associates P a Diagnostic Radiology Past Accepting new patients

Locations (25 of 33)

5880 S Hospital Dr
Globe, AZ 85501
Phone (928) 402-1217

5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000

26791 US Highway 380 E
Aubrey, TX 76227
Phone (972) 347-2525

12500 South Fwy
Ste 100
Burleson, TX 76028
Phone (214) 294-6250

5500 Colleyville Blvd
Colleyville, TX 76034
Phone (214) 294-6350

7101 S Padre Island Dr
Corpus Christi, TX 78412
Phone (361) 761-1400

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

1207 S Bailey St
Electra, TX 76360
Phone (940) 495-3981

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

1120 Business Center Dr
Ste 110
Houston, TX 77043
Phone (713) 337-1111

7026 Old Katy Rd
Ste 276
Houston, TX 77024
Phone (713) 358-0562

921 Gessner Rd
Houston, TX 77024
Phone (713) 242-3439

6720 Bertner Ave
#270
Houston, TX 77030
Phone (832) 355-4092

13333 Northwest Fwy
Ste 540
Houston, TX 77040
Phone (281) 962-3608

6720 Bertner Ave
#2270
Houston, TX 77030
Phone (832) 355-4092

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

620 S Main St
Ste 100
Keller, TX 76248
Phone (214) 294-6100

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

701 McClintic Dr
Lake Limestone, TX 76642
Phone (254) 729-3281

511 W FM 544
Ste 100
Murphy, TX 75094
Phone (214) 294-6150

9155 Grapevine Hwy
Ste 120
North Richland Hills, TX 76180

1975 Alpha Dr
#100
Rockwall, TX 75087
Phone (214) 294-6200

6800 Scenic Dr
Rowlett, TX 75088
Phone (972) 412-2273

9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300

17500 W Grand Pkwy S
Sugar Land, TX 77479
Phone (281) 725-5000

Interoperability endpoints

  • Direct secure messaging: oteniola456225@direct.healthsystem.virginia.edu

Organizations & group practices 12

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1396131728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9007",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229069007",
            "telephone_number": "434-295-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 LEE ST",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229083411",
            "telephone_number": "434-924-9400",
            "fax_number": "434-982-1618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENIOLA",
        "first_name": "OLUWADAMILOLA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-13",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "R3765",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101269209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "oteniola456225@direct.healthsystem.virginia.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1215 Lee St",
            "city": "Charlottesville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "229083411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.