Individual provider Active NPI

Fiyinfolu Oladele Balogun, M.D., PH.D.

  • Hematology & Oncology Physician
  • New York, NY
National Provider Identifier
1508277674
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
282122 Issued in NY
Practice address
300 E 66TH St
New York, NY 10065-6800
Phone
(212) 888-6964
Fax
(646) 227-7284
NPI assigned
May 12, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 282122 NY
Hematology & Oncology Physician 207RH0003X 282122 NY Primary

Addresses

Primary practice location

300 E 66TH St
New York, NY 10065-6800

Mailing address

300 E 66TH St # 1217
New York, NY 10065-6800
Phone (212) 888-6964

Other practice location 1

1275 York Ave
New York, NY 10065-6007
Phone (646) 888-6964

Other practice location 2

160 E 53rd St
New York, NY 10022-5243
Phone (646) 888-6964

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
I20201021001160 NY Practitioner - Medical OncologyPractitioner - Internal Medicine 2567797137 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Internal Medicine
Education
University of Chicago, Pritzker School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Memorial Solid Tumor GroupGroup PAC ID 4082503354, 233 clinicians

Practice addresses (Care Compare)

1275 York Ave
New York, NY 10065-6007
Phone (212) 639-2000

160 E 53Rd St
New York, NY 10022-5243
Phone (212) 639-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.5 of 100Reported as group
Quality
60.62
Improvement activities
40
Cost
73.87

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
282122NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Solid Tumor Group Internal Medicine CurrentSince Mar 1, 2020 Accepting new patients
Memorial Hospital for Cancer and Allied Diseases Past Accepting new patients

Locations

300 E 66th St
New York, NY 10065
Phone (347) 798-8856

1275 York Ave
New York, NY 10065
Phone (212) 639-3813

300 E 66th St
#1217
New York, NY 10065

160 E 53rd St
New York, NY 10022
Phone (212) 610-0112

633 3rd Ave
Fl 4
New York, NY 10017
Phone (646) 227-3764

Networks

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

Interoperability endpoints

  • Direct secure messaging: fbalogun26572@mskcc.direct-ci.com

Organizations & group practices 2

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 6

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": "1399852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1508277674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E 66TH ST # 1217",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656800",
            "telephone_number": "212-888-6964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E 66TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656800",
            "telephone_number": "212-888-6964",
            "fax_number": "646-227-7284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1275 York Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100656007",
            "country_code": "US",
            "telephone_number": "646-888-6964",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "160 E 53rd St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100225243",
            "country_code": "US",
            "telephone_number": "646-888-6964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALOGUN",
        "first_name": "FIYINFOLU",
        "middle_name": "OLADELE",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-12",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "282122",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "282122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.