Individual provider Active NPI

Anu F. Ogunlari, M.D.

  • Obstetrics & Gynecology Physician
  • Sunnyvale, TX
National Provider Identifier
1396852612
Registry record updated Feb 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
K9957 Issued in TX
Practice address
341 Wheatfield Dr
Suite 270
Sunnyvale, TX 75182-4638
Phone
(972) 216-5800
Fax
(972) 216-5801
NPI assigned
Aug 23, 2006
Last updated
Feb 7, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X K9957 TX Primary

Addresses

Primary practice location

341 Wheatfield Dr
Suite 270
Sunnyvale, TX 75182-4638

Mailing address

341 Wheatfield Dr
Suite 270
Sunnyvale, TX 75182-4638
Phone (972) 216-5800

Other identifiers 2

IdentifierTypeStateIssuer
157498001MedicaidTX
TXB131401OtherTXMEDICARE PROVIDER ID

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110802000524 TX Practitioner - Obstetrics/Gynecology 8628123825 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier OB-GYN Center PAGroup PAC ID 1850575150, 2 clinicians

Practice addresses (Care Compare)

341 Wheatfield Dr
Suite 270
Sunnyvale, TX 75182-4644
Phone (972) 216-5800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K9957TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier OB/GYN Center P.a. Obstetrics & Gynecology CurrentSince Mar 2, 2011 Accepting new patients
Prime Healthcare Services Mesquite LLC Past Accepting new patients

Locations

341 Wheatfield Dr
Ste 270
Sunnyvale, TX 75182
Phone (972) 216-5800

Interoperability endpoints

  • Direct secure messaging: anu.adeyemi-ogunlari.1@31198.direct.athenahealth.com

Organizations & group practices 2

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": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328572800000",
    "number": "1396852612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 WHEATFIELD DR",
            "address_2": "SUITE 270",
            "city": "SUNNYVALE",
            "state": "TX",
            "postal_code": "751824638",
            "telephone_number": "972-216-5800",
            "fax_number": "972-216-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 WHEATFIELD DR",
            "address_2": "SUITE 270",
            "city": "SUNNYVALE",
            "state": "TX",
            "postal_code": "751824638",
            "telephone_number": "972-216-5800",
            "fax_number": "972-216-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGUNLARI",
        "first_name": "ANU",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2012-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "K9957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157498001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER ID",
            "identifier": "TXB131401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyvale, TX

Sources for this page

Verify at the official NPI Registry.