NPIMap

Individual provider Active NPI

Gbolahan O Ogunbayo, M.D.

  • Interventional Cardiology Physician
  • Frankfort, KY
National Provider Identifier
1457614646
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
48918 Issued in KY
Practice address
299 Kings Daughters Dr
Frankfort, KY 40601-6514
Phone
(502) 875-5240
NPI assigned
Jun 21, 2012
Last updated
Jan 4, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Interventional Cardiology Physician 207RI0011X 48918 KY Primary

Addresses

Primary practice location

299 Kings Daughters Dr
Frankfort, KY 40601-6514

Mailing address

1425 Portland Ave
Rochester, NY 14621-3011
Phone (585) 922-4369

Other practice location 1

1425 Portland Ave
Rochester, NY 14621-3011
Phone (585) 922-4369

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address GBOLAHAN.OGUNBAYO@hca6.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20200805003250 KY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7113231986 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

109 Daniel Dr
Danville, KY 40422-2527
Phone (859) 236-3361

120 Daniel Dr
Danville, KY 40422-2527
Phone (859) 239-5570

124 Daniel Dr
Danville, KY 40422-2527
Phone (859) 239-5570

130 Daniel Dr
Danville, KY 40422-2527
Phone (859) 236-2222

216 W Walnut St
Danville, KY 40422-1832

217 S 3Rd St
Danville, KY 40422-1823
Phone (859) 239-1000

464 Linden Ave
Harrodsburg, KY 40330-1882
Phone (859) 734-5441

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.36 of 100Reported as group
Quality
64.78
Promoting interoperability
100
Improvement activities
40
Cost
67.25

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting29
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ephraim McDowell Health Resource, Inc CurrentSince May 17, 2023 Accepting new patients
Ephraim McDowell Health Resource, Inc Interventional Cardiology CurrentSince May 17, 2023 Accepting new patients
Ephraim McDowell Health Resource, Inc. Current Accepting new patients
Ephraim McDowell Regional Medical Center Incorporated Past Accepting new patients
Community Medical Associates, Inc. PastSince Jul 6, 2020 Accepting new patients

Locations

109 Daniel Dr
Danville, KY 40422
Phone (859) 236-3361

216 W Walnut St
Ste A
Danville, KY 40422
Phone (859) 239-5870

217 S 3rd St
Danville, KY 40422
Phone (859) 239-1000

Interoperability endpoints

  • Direct secure messaging: gbolahan.ogunbayo@hca6.eclinicaldirectplus.com

Organizations & group practices 5

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 11

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": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1457614646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 PORTLAND AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146213011",
            "telephone_number": "585-922-4369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 KINGS DAUGHTERS DR",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406016514",
            "telephone_number": "502-875-5240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1425 Portland Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146213011",
            "country_code": "US",
            "telephone_number": "585-922-4369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OGUNBAYO",
        "first_name": "GBOLAHAN",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-21",
        "last_updated": "2022-01-04",
        "certification_date": "2020-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "KY",
            "license": "48918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "GBOLAHAN.OGUNBAYO@hca6.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1425 Portland Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146213011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Frankfort, KY

Sources for this page

Verify at the official NPI Registry.