Individual provider Active NPI

Bamidele Olupona, DPM

  • Foot & Ankle Surgery Podiatrist
  • Miami, FL
National Provider Identifier
1548502867
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO3757 Issued in FL
Practice address
2601 SW 37TH Ave Ste 604
Miami, FL 33133-2750
Phone
(305) 587-4247
Fax
(866) 834-5611
NPI assigned
Mar 25, 2013
Last updated
Jun 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Primary Podiatric Medicine Podiatrist 213EP1101X PO3757 FL
Foot & Ankle Surgery Podiatrist 213ES0103X PO3757 FL Primary
Foot Surgery Podiatrist 213ES0131X PO3757 FL

Addresses

Primary practice location

2601 SW 37TH Ave Ste 604
Miami, FL 33133-2750

Mailing address

2601 SW 37TH Ave Ste 604
Miami, FL 33133-2750
Phone (305) 587-4247

Other practice location 1

2400 SW 69th Ave
Miami, FL 33155-2919
Phone (305) 413-5070

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160810002841 FL Practitioner - Podiatry 8224322409 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premium Healthcare Holdings, LLLPGroup PAC ID 7315320207, 8 clinicians
Olupona Foot and Ankle LLCGroup PAC ID 4082940952, 2 clinicians
Kopa LLCGroup PAC ID 5193774461, 40 clinicians

Practice addresses (Care Compare)

2400 SW 69TH Ave
Suite 100
Miami, FL 33155-2947
Phone (305) 265-4441

2601 SW 37 Ave
Suite 904
Miami, FL 33133-2751
Phone (305) 587-4247

5900 Lake Ellenor Dr
Suite 700
Orlando, FL 32809-4643
Phone (407) 352-2542

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO3757FLMDPrimary Podiatric Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Podiatry Group LLC Foot & Ankle Surgery Current Accepting new patients
Kopa LLC CurrentSince Dec 1, 2022 Accepting new patients
Premium Healthcare Holdings, LLLP CurrentSince Jan 1, 2023 Accepting new patients
Gary D Small DPM Corp Foot & Ankle Surgery CurrentSince May 1, 2016 Accepting new patients
United Medical Specialties Inc. CurrentSince Sep 20, 2017 Accepting new patients
Podiatry Group LLC Primary Podiatric Medicine Current Accepting new patients
Olupona Foot and Ankle, LLC Foot & Ankle Surgery CurrentSince May 5, 2019 Accepting new patients
Olupona Foot and Ankle, LLC Foot & Ankle Surgery Past Accepting new patients
Olupona Foot and Ankle Foot & Ankle Surgery Past Accepting new patients
Olupona Foot and Ankle LLC Foot & Ankle Surgery Past Accepting new patients
Olupona Foot and Ankle, LLC Foot & Ankle Surgery Past Accepting new patients
Olupona Foot and Ankle Past Accepting new patients
Olupona Foot and Ankle LLC Foot & Ankle Surgery Past Accepting new patients
Olupona Foot and Ankle, LLC Past Accepting new patients
Olupona Foot and Ankle, LLC Past Accepting new patients

Locations

3100 SW 37th Ave
Coral Gables, FL 33134
Phone (305) 441-6868

2400 SW 69th Ave
Miami, FL 33155
Phone (305) 413-5070

2400 SW 69th Ave
Ste 100
Miami, FL 33155

2601 SW 37th Ave
Ste 604
Miami, FL 33133
Phone (305) 324-7913

2601 SW 37th Ave
Ste 904
Miami, FL 33133
Phone (305) 447-6688

2645 SW 37th Ave
Ste 101
Miami, FL 33133
Phone (305) 444-7114

6850 Coral Way
Miami, FL 33155
Phone (305) 665-8205

2000 N Semoran Blvd
Orlando, FL 32807
Phone (407) 641-5400

5900 Lk Ellenor Dr
Ste 700
Orlando, FL 32809
Phone (407) 216-0101

170 N Old Kings Rd
Ormond Beach, FL 32174
Phone (386) 615-8139

Interoperability endpoints

  • Direct secure messaging: bamidele.olupona.1@19066.direct.athenahealth.com
  • Direct secure messaging: olupona.bamidele.1@15759.direct.athenahealth.com

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1548502867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 SW 37TH AVE STE 604",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331332750",
            "telephone_number": "305-587-4247",
            "fax_number": "866-834-5611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 SW 37TH AVE STE 604",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331332750",
            "telephone_number": "305-587-4247",
            "fax_number": "866-834-5611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 SW 69th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331552919",
            "country_code": "US",
            "telephone_number": "305-413-5070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLUPONA",
        "first_name": "BAMIDELE",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-25",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "FL",
            "license": "PO3757",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3757",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "FL",
            "license": "PO3757",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.