Active NPI
Olufunke O. Abiose, M.D.
- Obstetrics & Gynecology Physician
- Lutz, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME107551
- 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, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002529000 | Medicaid | FL |
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
Enrollment records 1
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
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
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Physician Group Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Florida Medical Clinic, LLC | Current | Accepting new patients | |
| Florida Medical Clinic LLC | Current | 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
- 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.
-
dba AdventHealth Medical Group
- Family Medicine Physician
- Tampa, FL
- NPI 1174955256
Obstetrics & Gynecology
-
- Clinic/Center
- Zephyrhills, FL
- NPI 1821055690
-
dba Florida Medical Clinic Pharmacy
- Pharmacy
- Zephyrhills, FL
- NPI 1669548020
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth Wesley Chapel
- General Acute Care Hospital
- Wesley Chapel, FL
- NPI 1073893020
-
dba AdventHealth Tampa
- General Acute Care Hospital
- Tampa, FL
- NPI 1053321919
-
dba AdventHealth Tampa Outreach Laboratory
- Clinical Medical Laboratory
- Tampa, FL
- NPI 1134766694
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2018; 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.