Active NPI
Olakunle Francis Oguntodu, MD
- Family Medicine Physician
- Davenport, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- R-10824
- Practice address
- 1345 W Central Park Ave
Davenport, IA 52804-1844 - Phone
- (563) 421-4455
- NPI assigned
- Jun 19, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 325791 | LA | |
| Internal Medicine Physician | 207R00000X | S9045 | TX | |
| Hospitalist Physician | 208M00000X | S9045 | TX | |
| Family Medicine Physician | 207Q00000X | R-10824 | IA | Primary |
Addresses
Primary practice location
1345 W Central Park Ave
Davenport, IA 52804-1844
Mailing address
220 E 37TH St Apt D8
Davenport, IA 52806-6034
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220722000430 | TX | Practitioner - Family Practice | 7517237043 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hospital Medicine Services of TX, PLLCAlamo Hospitalists PLLC
Practice addresses (Care Compare)
1310 McCullough Ave
San Antonio, TX 78212-5601
Phone (210) 757-2200
330 Clay St
Unit 19
San Antonio, TX 78204-2472
Phone (248) 558-9017
7700 Floyd Curl Dr
San Antonio, TX 78229-3902
Phone (210) 575-4000
Hospital & facility affiliations
- Methodist Hospital
- Baptist Medical Center
- University Health System
- Rehabilitation Institute of South San Antonio
- Kindred Hospital- San Antonio Central
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 325791 | LA | MD | Emergency Medicine Physician |
| S9045 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concord Medical Group of Texas PLLC | Emergency Medicine | Current | Accepting new patients |
| Travis County Emergency Physicians PA | Emergency Medicine | Current | Accepting new patients |
| Alamo Hospitalists PLLC | Internal Medicine | Current | Accepting new patients |
| Hospital Medicine Services of TX, PLLC | Hospitalist | Current | Accepting new patients |
| Methodist Healthcare System of San Antonio, LTD., L.L.P. | Past | Accepting new patients |
Locations
7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305
200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241
12141 Richmond Ave
Houston, TX 77082
Phone (281) 558-3444
6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000
12412 Judson Rd
Live Oak, TX 78233
Phone (210) 646-5000
11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000
200 S Interstate 35
Pearsall, TX 78061
Phone (888) 250-2326
1310 McCullough Ave
San Antonio, TX 78212
Phone (210) 208-2200
6700 W Interstate 10
San Antonio, TX 78201
Phone (210) 575-8289
7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564
1139 E Sonterra Blvd
San Antonio, TX 78258
Phone (210) 638-2000
8026 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-8110
Interoperability endpoints
- minoogunt@yourcarecommunity.org
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- San Antonio, TX
- NPI 1386347839
Internal Medicine, TX
-
- Hospitalist Physician
- San Antonio, TX
- NPI 1881392363
Hospitalist, TX
-
- Emergency Medicine Physician
- Lubbock, TX
- NPI 1750790762
Emergency Medicine, TX
-
- Emergency Medicine Physician
- Austin, TX
- NPI 1962440933
Emergency Medicine, TX
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1124074273
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital
- San Antonio, TX
- NPI 1205567179
Inpatient rehabilitation facility
-
- Long Term Care Hospital
- San Antonio, TX
- NPI 1558721365
Long-term care hospital
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1124074273
Hospital
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1689627655
Hospital
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1952348021
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702512000000",
"number": "1477083798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 E 37TH ST APT D8",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528066034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1345 W CENTRAL PARK AVE",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528041844",
"telephone_number": "563-421-4455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OGUNTODU",
"first_name": "OLAKUNLE",
"middle_name": "FRANCIS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-06-19",
"last_updated": "2023-12-14",
"certification_date": "2023-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "LA",
"license": "325791",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "S9045",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "TX",
"license": "S9045",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "R-10824",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davenport, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.