Individual provider Active NPI

Temiloluwa Kowobari, DO

  • Student in an Organized Health Care Education/Training Program
  • Miami, FL
National Provider Identifier
1396431722
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
15955 SW 96TH St Ste 200
Miami, FL 33196-1272
Phone
(786) 467-3140
NPI assigned
Apr 18, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

15955 SW 96TH St Ste 200
Miami, FL 33196-1272

Mailing address

15955 SW 96TH St Ste 200
Miami, FL 33196-1272
Phone (786) 467-3140

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
I20230720004090 FL Order and Referring Only - Family PracticePractitioner - Family Practice 3971963067

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
North Carolina Medical School, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12901 Bruce B Downs Blvd
Suite 62
Tampa, FL 33612-4799

Hospital & facility affiliations

  • West Kendall Baptist Hospital Hospital, Miami, FL, CCN 100314

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Physicians LLC CurrentSince Apr 23, 2023 Accepting new patients

Locations

15955 SW 96th St
Ste 200
Miami, FL 33196
Phone (786) 467-3140

Interoperability endpoints

  • Direct secure messaging: temiloluwa.kowobari.1@27920.direct.athenahealth.com

Organizations & group practices 1

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1396431722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15955 SW 96TH ST STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331961272",
            "telephone_number": "786-467-3140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15955 SW 96TH ST STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331961272",
            "telephone_number": "786-467-3140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWOBARI",
        "first_name": "TEMILOLUWA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.