NPIMap

Organization Active NPI

Rescuemd PLLC

  • Primary Care Clinic/Center
  • Allen, TX
National Provider Identifier
1487205902
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
RESCUEMD PLLC
Practice address
945 Stockton Dr Unit 6100
Allen, TX 75013-6158
Phone
(972) 390-7667
Fax
(972) 390-1557
NPI assigned
Sep 25, 2019
Last updated
Aug 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Authorized official

Name
Dr. Olubukola Aduke Okoro, OKORONPI 1073877700
Title
Medical Director
Phone
(972) 390-7667

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

945 Stockton Dr Unit 6100
Allen, TX 75013-6158

Mailing address

945 Stockton Dr Unit 6100
Allen, TX 75013-6158
Phone (313) 649-1867

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200115000603 TX Part B Supplier - Clinic/Group Practice 0446685762 Receives reassigned benefits from 23 practitioners
Practice locations: Allen, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2178113Rescuemd945 Stockton Dr Suite 6100, Allen, TX 75013AccreditationFeb 5, 2028

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

12410 Montwood Dr
El Paso, TX 79928

1400 N Coit Rd
Ste 304
McKinney, TX 75071
Phone (972) 390-7667

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1487205902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 STOCKTON DR UNIT 6100",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750136158",
            "telephone_number": "313-649-1867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 STOCKTON DR UNIT 6100",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750136158",
            "telephone_number": "972-390-7667",
            "fax_number": "972-390-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESCUEMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-25",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "OKORO",
        "authorized_official_first_name": "OLUBUKOLA",
        "authorized_official_middle_name": "ADUKE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "972-390-7667",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OKORO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.