NPIMap

Individual provider Active NPI

Olumide Anuoluwa Omiwade, MBCHB

  • Family Medicine Physician
  • Rhinelander, WI
National Provider Identifier
1427210699
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
55799620 Issued in WI
Practice address
2251 N Shore Dr Ste 100
Rhinelander, WI 54501-6710
Phone
(713) 550-7718
NPI assigned
Jun 30, 2008
Last updated
Sep 18, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 55799620 WI Primary

Addresses

Primary practice location

2251 N Shore Dr Ste 100
Rhinelander, WI 54501-6710

Mailing address

2251 N Shore Dr Ste 100
Rhinelander, WI 54501-6710
Phone (713) 550-7718

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110715000624 WI Practitioner - Family Practice 2961670005 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2251 N Shore Dr
Suite 100
Rhinelander, WI 54501-6710
Phone (715) 361-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.84 of 100Reported as group
Quality
86.21
Promoting interoperability
100
Improvement activities
40
Cost
73.25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
55799620WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Merrill Hospital & Clinics, Inc. CurrentSince Sep 30, 2012 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Aug 13, 2012 Accepting new patients
The Howard Young Medical Center, Inc. CurrentSince Jun 1, 2025 Accepting new patients
Aspirus Eagle River Hospital & Clinics, Inc. Current Accepting new patients
Aspirus Merrill Hospital & Clinics, Inc. CurrentSince Sep 30, 2012 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Aug 13, 2012 Accepting new patients
Aspirus Eagle River Hospital, Inc. CurrentSince Oct 2, 2012 Accepting new patients
Hospitalist Medicine Physicians of Wisconsin Rapids LTD Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

201 Hospital Rd
Eagle River, WI 54521
Phone (715) 477-3000

601 S Center Ave
Merrill, WI 54452
Phone (715) 536-5511

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074

900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500

401 W Mohawk Dr
Ste 100
Tomahawk, WI 54487
Phone (715) 453-7700

420 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-7474

240 Maple St
Woodruff, WI 54568
Phone (715) 356-8000

Interoperability endpoints

  • Direct secure messaging: olumide.omiwade@direct.forthc.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 29

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

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347926400000",
    "number": "1427210699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2251 N SHORE DR STE 100",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545016710",
            "telephone_number": "713-550-7718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2251 N SHORE DR STE 100",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545016710",
            "telephone_number": "713-550-7718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMIWADE",
        "first_name": "OLUMIDE",
        "middle_name": "ANUOLUWA",
        "name_prefix": "Dr.",
        "credential": "MBCHB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-30",
        "last_updated": "2012-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "55799620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rhinelander, WI

Sources for this page

Verify at the official NPI Registry.