Individual provider Active NPI

Olufunke O. Abiose, M.D.

  • Obstetrics & Gynecology Physician
  • Lutz, FL
National Provider Identifier
1538360680
Registry record updated Feb 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME107551 Issued in FL
Practice address
18923 State Road 54
Lutz, FL 33558-5268
Phone
(813) 803-7150
Fax
(813) 803-7167
NPI assigned
May 29, 2007
Last updated
Feb 12, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME107551 FL Primary

Addresses

Primary practice location

18923 State Road 54
Lutz, FL 33558-5268

Mailing address

18923 State Road 54
Lutz, FL 33558-5268
Phone (813) 803-7150

Other practice location 1

2700 Healing Way
Suite 310
Wesley Chapel, FL 33543-5453
Phone (813) 991-7416

Other identifiers 1

IdentifierTypeStateIssuer
002529000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20121011000712 FL Practitioner - Obstetrics/Gynecology 7810146602 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Creighton University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Physician Group IncGroup PAC ID 2365679057, 953 clinicians

Practice addresses (Care Compare)

18923 State Rd
Suite 54
Lutz, FL 33558-5268
Phone (813) 803-7150

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Physician Group Inc Obstetrics & Gynecology CurrentSince Mar 5, 2018 Accepting new patients
Florida Medical Clinic, LLC CurrentSince Mar 3, 2014 Accepting new patients
Florida Medical Clinic LLC CurrentSince Mar 3, 2014 Accepting new patients

Locations

14027 5th St
Dade City, FL 33525
Phone (813) 782-6064

18923 State Road 54
Lutz, FL 33558
Phone (813) 803-7150

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

2700 Healing Way
Ste 100
Wesley Chapel, FL 33543
Phone (813) 929-5341

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

38135 Market Square Dr
Zephyrhills, FL 33542
Phone (352) 567-0188

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: oabiose73705@adventhealth.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518393600000",
    "number": "1538360680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18923 STATE ROAD 54",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335585268",
            "telephone_number": "813-803-7150",
            "fax_number": "813-803-7167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18923 STATE ROAD 54",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335585268",
            "telephone_number": "813-803-7150",
            "fax_number": "813-803-7167"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 Healing Way",
            "address_2": "Suite 310",
            "address_purpose": "LOCATION",
            "city": "Wesley Chapel",
            "state": "FL",
            "postal_code": "335435453",
            "country_code": "US",
            "telephone_number": "813-991-7416",
            "fax_number": "813-355-5097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABIOSE",
        "first_name": "OLUFUNKE",
        "middle_name": "O.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2018-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME107551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002529000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

Verify at the official NPI Registry.