Individual provider Active NPI

Oladimeji Oki, M.D.

  • Student in an Organized Health Care Education/Training Program
  • Bronx, NY
National Provider Identifier
1487911905
Registry record updated Apr 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
3544 Jerome Ave
Bronx, NY 10467-1005
Phone
(718) 920-2815
Fax
(718) 515-5416
NPI assigned
Apr 22, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

3544 Jerome Ave
Bronx, NY 10467-1005

Mailing address

14802 Winding Waters Dr
Cypress, TX 77429-6736
Phone (732) 642-7100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151118001369 NY Practitioner - Family Practice 2668772989 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

3011 Boston Rd
Bronx, NY 10469-4002
Phone (866) 633-8255

Hospital & facility affiliations

  • Montefiore Medical Center Hospital, Bronx, NY, CCN 330059

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Sep 17, 2015 Accepting new patients
Montefiore Medical Center CurrentSince Sep 17, 2015 Accepting new patients
Montefiore Medical Center Past Accepting new patients

Locations

3011 Boston Rd
Bronx, NY 10469
Phone (718) 547-6111

111 E 210th St
Bronx, NY 10467

3544 Jerome Ave
Bronx, NY 10467
Phone (718) 920-2007

3448 Boston Rd
Bronx, NY 10469
Phone (718) 547-6111

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1335052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335052800000",
    "number": "1487911905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14802 WINDING WATERS DR",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774296736",
            "telephone_number": "732-642-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3544 JEROME AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104671005",
            "telephone_number": "718-920-2815",
            "fax_number": "718-515-5416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKI",
        "first_name": "OLADIMEJI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-22",
        "last_updated": "2012-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.