Individual provider Active NPI

Busayo Ben Aregbesola

  • Physician Assistant
  • Houston, TX
National Provider Identifier
1568040970
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA14443 Issued in TX
Practice address
15335 Park Row Apt 313
Houston, TX 77084-2893
Phone
(512) 905-3642
NPI assigned
Mar 30, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA14443 TX Primary

Addresses

Primary practice location

15335 Park Row Apt 313
Houston, TX 77084-2893

Mailing address

15335 Park Row Apt 313
Houston, TX 77084-2893
Phone (512) 905-3642

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210429002269 TX Practitioner - Physician Assistant 7012326275 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apex Urgent Care Clinic LLCGroup PAC ID 3971804188, 16 clinicians
Memorial Hermann Urgent Care PLLCGroup PAC ID 4880071679, 115 clinicians
Doctors Express of the Beaumont Area PAGroup PAC ID 5698816882, 211 clinicians

Practice addresses (Care Compare)

12120 Jones Rd
Suite D
Houston, TX 77070-5280
Phone (832) 756-2125

1227 Museum Square Dr
Sugar Land, TX 77479-4629
Phone (281) 265-8125

1448 Kingwood Dr
Kingwood, TX 77339-3040
Phone (281) 549-9007

15236 Wallisville Rd
Houston, TX 77049-4618
Phone (281) 862-8955

20022 Southwest Fwy
Sugar Land, TX 77479-6310
Phone (346) 521-3628

3195 Dowlen Rd
Suite 105
Beaumont, TX 77706-7272
Phone (409) 860-1888

3415 FM 762 Rd
Suite 180
Richmond, TX 77469-5580
Phone (281) 699-5680

4057 Riley Fuzzel Rd
Spring, TX 77386-4632
Phone (281) 602-0450

4828 Waterview Town Ctr Dr
Suite 100
Richmond, TX 77407-2385
Phone (832) 427-6015

5568 Weslayan St
Houston, TX 77005-1942
Phone (713) 666-7050

6040 Garth Rd
Suite 10
Baytown, TX 77521-9813
Phone (281) 503-9000

6111 N Fry Rd
Katy, TX 77449-5563
Phone (832) 913-6817

6445 FM 1463 Rd
Suite 230
Katy, TX 77494-4031
Phone (281) 990-6890

8831 N Hwy 146
Baytown, TX 77523-7078
Phone (281) 533-8354

8850 Spencer Hwy
La Porte, TX 77571-3736
Phone (281) 946-9980

9455 N Sam Houston Pkwy E
Suite 700
Humble, TX 77396-5018
Phone (281) 335-6111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA14443TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southlake Doctors Express, PA PSC Current Accepting new patients
Texas Home Physicians Past Accepting new patients
Doctors Express of the Temple Area, PA Past Accepting new patients

Locations

2315 E Southlake Blvd
Ste 110
Southlake, TX 76092
Phone (817) 488-9922

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1568040970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15335 PARK ROW APT 313",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770842893",
            "telephone_number": "512-905-3642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15335 PARK ROW APT 313",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770842893",
            "telephone_number": "512-905-3642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AREGBESOLA",
        "first_name": "BUSAYO",
        "middle_name": "BEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-30",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA14443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.