Active NPI
Bamidele Olupona, DPM
- Foot & Ankle Surgery Podiatrist
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PO3757
- 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, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO3757 | FL | MD | Primary Podiatric Medicine Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Podiatry Group LLC | Foot & Ankle Surgery | Current | Accepting new patients |
| Kopa LLC | Current | Accepting new patients | |
| Premium Healthcare Holdings, LLLP | Current | Accepting new patients | |
| Gary D Small DPM Corp | Foot & Ankle Surgery | Current | Accepting new patients |
| United Medical Specialties Inc. | Current | Accepting new patients | |
| Podiatry Group LLC | Primary Podiatric Medicine | Current | Accepting new patients |
| Olupona Foot and Ankle, LLC | Foot & Ankle Surgery | Current | 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
- bamidele.olupona.1@19066.direct.athenahealth.com
- 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.
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; 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.