Individual provider Active NPI

Olayinka Suberu

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1447796222
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP131377 Issued in TX
Practice address
4201 Brook Spring Dr
Dallas, TX 75224-4968
Phone
(214) 266-1400
NPI assigned
Jan 17, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP131377 TX Primary

Addresses

Primary practice location

4201 Brook Spring Dr
Dallas, TX 75224-4968

Mailing address

1408 Barnhart Dr
Mesquite, TX 75181-2687
Phone (469) 733-2283

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170203000069 TX Practitioner - Nurse Practitioner 0941583652 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dallas County Hospital DistrictGroup PAC ID 8325934813, 597 clinicians

Practice addresses (Care Compare)

4201 Brook Spring Dr
Dallas, TX 75224-4968
Phone (214) 266-1400

Merit-based Incentive Payment System (MIPS)

Final score
95.1 of 100Reported as group
Quality
88.97
Promoting interoperability
79
Improvement activities
40
Cost
83.75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP131377TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas County Hospital District Family CurrentSince Jan 4, 2017 Accepting new patients
Dallas County Hospital District Family Current Accepting new patients
Dallas County Hospital District Family CurrentSince Jan 4, 2017 Accepting new patients

Locations

4201 Brook Spring Dr
Dallas, TX 75224
Phone (214) 266-1400

1800 N Britain Rd
Irving, TX 75061
Phone (214) 266-3000

Interoperability endpoints

  • Direct secure messaging: osuberu18678@direct.phhs.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484697600000",
    "number": "1447796222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 BARNHART DR",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751812687",
            "telephone_number": "469-733-2283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 BROOK SPRING DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752244968",
            "telephone_number": "214-266-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBERU",
        "first_name": "OLAYINKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-17",
        "last_updated": "2017-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP131377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.