Olanrewaju Ijaola, MD

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

40145 Issued in AZ

Practice address

2510 W Dunlap Ave
Suite 290
Phoenix, AZ 85021-2737

Phone

(602) 789-0344

Fax

(602) 789-8279

NPI assigned

Jan 14, 2008

Last updated

Aug 11, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Pediatric Medicine

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

FHMC ClinicGroup PAC ID 8729497706, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• FHMC Clinic

  dba Fountain Hills Medical Center

  • Emergency Medicine Physician
  • Fountain Hills, AZ
  • NPI 1043830623

  Pediatrics

  Medicare reassignment Care Compare group NPD
• FHMC Operating PC

  dba FHMC Primary Care Clinic

  • Adult Medicine Physician
  • Fountain HLS, AZ
  • NPI 1295355881

  Hospitalist

  Medicare reassignment NPD
• FHMC LLC

  dba El Mirage Emergency and Medical Center

  • Emergency Care Clinic/Center
  • Fountain Hills, AZ
  • NPI 1609496397
  NPD
• Lahodas PLLC

  dba Mercy Grace Private Practice

  • Primary Care Clinic/Center
  • Gilbert, AZ
  • NPI 1225462468
  NPD
• Obstetrix Medical Group of Phoenix PC

  dba Arizona Pediatric Cardiology Consultants

  • Pediatric Cardiology Physician
  • Phoenix, AZ
  • NPI 1346269594
  NPD (past)
• Obstetrix Medical Group of Phoenix PC

  dba Phoenix Perinatal Associates

  • Neonatal-Perinatal Medicine Physician
  • Mesa, AZ
  • NPI 1407957152
  NPD (past)
• Privia Medical Group Arizona, LLC

  • Neurology Physician
  • Phoenix, AZ
  • NPI 1245876705
  NPD (past)
• Privia Medical Group Arizona, LLC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1760441141
  NPD (past)

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281484800000",
    "number": "1437335049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 W DUNLAP AVE",
            "address_2": "SUITE 290",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850212737",
            "telephone_number": "602-789-0344",
            "fax_number": "602-789-8279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 W DUNLAP AVE",
            "address_2": "SUITE 290",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850212737",
            "telephone_number": "602-789-0344",
            "fax_number": "602-789-8279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IJAOLA",
        "first_name": "OLANREWAJU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-14",
        "last_updated": "2010-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "40145",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AZ",
            "license": "40145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "349459",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alysia Iguado, RN
• Ihcs Central Phoenix Hospital LLC (Instinctive Health Central Phoenix Hospital)
• Sarah Sumin Ihn, SLP-CF
• Karen Ann Ihrig, LCSW
• Kara Ihrke, FNP
• Ik Testing
• Ikaze Behavioral Center LLC
• Ashley Ifunanya Ike, MD
• Elizabeth N Ike, PHARMACIST
• Uche Ike, PMHNP

• Hospitalist Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Hospitalist Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.