Funmilayo Eniola Bola-Raji, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP143254 Issued in TX

Practice address

3500 Little York Rd Ste A5
Houston, TX 77093-3658

Phone

(281) 707-7358

Fax

(832) 827-8500

NPI assigned

Jun 26, 2020

Last updated

Aug 18, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oak Street Health of Texas PLLCGroup PAC ID 2163843038, 103 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Houston Healthcare West Hospital, Houston, TX, CCN 450644

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Oak Street Health of Texas, PLLC

  • Primary Care Clinic/Center
  • Fort Worth, TX
  • NPI 1497387419

  Family

  Medicare reassignment Care Compare group NPD
• Procenture Medical Services LLC

  dba ProCenture Medical Services

  • Primary Care Clinic/Center
  • Houston, TX
  • NPI 1043719867
  Medicare reassignment NPD

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

• Chca West Houston L P

  dba HCA Houston Healthcare West

  • General Acute Care Hospital
  • Houston, TX
  • NPI 1275580938
  Care Compare affiliation

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

{
    "created_epoch": "1593129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1457978272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746079",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746079",
            "telephone_number": "832-673-1182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 LITTLE YORK RD STE A5",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770933658",
            "telephone_number": "281-707-7358",
            "fax_number": "832-827-8500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2014 Wentworth St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770046084",
            "country_code": "US",
            "telephone_number": "281-915-1630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLA-RAJI",
        "first_name": "FUNMILAYO",
        "middle_name": "ENIOLA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-26",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP143254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Houston",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2014 Wentworth St",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770046084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Claire Bokal
• Paula Lynette Bokamper, LPC
• Hammad Bokhari, D.O.
• Shazia Bokhari, MD
• Michael Ibraam Boktour, DDS
• Robert J Boland, MD
• Trina I Boland, DIETITIAN
• Carlos Ranon Bolano, MD
• Julie Bolanos, LMSW
• Mariela Bolanos

• Family Nurse Practitioner in Houston, TX
• Providers in Houston, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; 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.