Individual provider Active NPI

Roland Ogomwen Okungbowa, CRNA

  • Certified Registered Nurse Anesthetist
  • Baton Rouge, LA
National Provider Identifier
1568560407
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN-096621-AP04753 Issued in LA
Practice address
7145 Perkins Road
Baton Rouge, LA 70808-4322
Phone
(225) 765-3111
Fax
(225) 765-3114
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X AP04753 LA
Certified Registered Nurse Anesthetist 367500000X 37502 TN
Certified Registered Nurse Anesthetist 367500000X RN-096621-AP04753 LA Primary

Addresses

Primary practice location

7145 Perkins Road
Baton Rouge, LA 70808-4322

Mailing address

7145 Perkins Road
Baton Rouge, LA 70808-4322
Phone (225) 765-3111

Other practice location 1

10415 Wallace Alley St
Kingsport, TN 37663-3936
Phone (423) 968-4050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, OR, TN3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20051013000641 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8426073925 Reassigns benefits to 7 organizations
I20240314002975 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 8426073925 Reassigns benefits to 1 organization
I20250317001515 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 8426073925 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Louisiana State University School of Medicine in New Orleans, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Paragon Anesthesia PCGroup PAC ID 8921044744, 214 clinicians
Lafayette Health Ventures IncGroup PAC ID 9335043074, 299 clinicians
Anesthesiology Group Associates IncGroup PAC ID 0042110298, 155 clinicians
Regional Anesthesia LLCGroup PAC ID 0547344103, 5 clinicians

Practice addresses (Care Compare)

1 Medical Park Blvd
Bristol, TN 37620-7430
Phone (423) 390-0451

1214 Coolidge Blvd
Lafayette, LA 70503-2621
Phone (337) 289-7991

400 N State of Franklin Rd
Johnson City, TN 37604-6035
Phone (423) 390-0451

7777 Hennessy Blvd
Suite 301
Baton Rouge, LA 70808-0319
Phone (225) 214-6438

7777 Hennessy Blvd
Suite 5000
Baton Rouge, LA 70808-4368
Phone (225) 214-6688

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
37502TNMDMOHS-Micrographic Surgery Physician
AP04753LAMDCertified Registered Nurse Anesthetist
RN-096621-AP04753LAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Lafayette Health Ventures Inc. CurrentSince Jun 6, 2022 Accepting new patients
Advanced Anesthesia Associates CurrentSince Aug 1, 2021 Accepting new patients
Ochsner Clinic LLC CurrentSince Sep 19, 2022 Accepting new patients
Hospitalist Medicine Physicians of Washington - TCS Nurse Anesthetist, Certified Registered CurrentSince Feb 13, 2024 Accepting new patients
Lafayette Health Ventures Inc Current Accepting new patients
Regional Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2021 Accepting new patients
North Oaks Medical Center, LLC CurrentSince Apr 15, 2022 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Paragon Anesthesia PC Nurse Anesthetist, Certified Registered CurrentSince Jan 9, 2025 Accepting new patients
East Tennessee Ambulatory Surgery Center LLC CurrentSince Jan 9, 2025 Accepting new patients
Lafayette Health Ventures Inc CurrentSince Jun 6, 2022 Accepting new patients
Ochsner Clinic LLC CurrentSince Sep 19, 2022 Accepting new patients
Anesthesiology Group Associates Inc CurrentSince Aug 1, 2005 Accepting new patients
The Capital City Anesthesia Group, LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 13, 2024 Accepting new patients
Singing River Health System Past Accepting new patients
Steven E. Lee, MD, Apmc Past Accepting new patients
Lafayette Health Ventures, Inc Past Accepting new patients
Surgical Anesthesia of Baton Rouge LLC Past Accepting new patients

Locations

11414 Lake Sherwood Ave N
Baton Rouge, LA 70816
Phone (225) 532-4058

5000 Hennessy Blvd
Baton Rouge, LA 70808
Phone (225) 765-4050

8595 United Plaza Blvd
Baton Rouge, LA 70809
Phone (225) 590-0790

7777 Hennessy Blvd
Ste 5000
Baton Rouge, LA 70808
Phone (225) 214-6688

8585 Picardy Ave
Baton Rouge, LA 70809
Phone (225) 763-4000

3600 Florida St
Baton Rouge, LA 70806
Phone (225) 381-2615

7777 Hennessy Blvd
Ste 301
Baton Rouge, LA 70808
Phone (225) 214-6436

9118 Bluebonnet Centre Blvd
Baton Rouge, LA 70809
Phone (225) 368-2300

210 Champagne Blvd
Breaux Bridge, LA 70517
Phone (337) 332-2178

1305 E Highway 90
Crowley, LA 70526
Phone (337) 783-3222

15790 Paul Vega Md Dr
Hammond, LA 70403
Phone (985) 230-1682

2810 Ambassador Caffery Pkwy
Lafayette, LA 70506
Phone (337) 593-5423

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

4212 W Congress St
Ste 3100
Lafayette, LA 70506
Phone (337) 703-3201

1000 W Pinhook Rd
Lafayette, LA 70503
Phone (337) 289-7311

1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191

1401 Foucher St
New Orleans, LA 70115
Phone (504) 897-7011

1514 Jefferson Hwy
New Orleans, LA 70121

9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234

4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111

1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451

10415 Wallace Alley St
Kingsport, TN 37663
Phone (423) 390-0451

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 6

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1568560407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7145 PERKINS ROAD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084322",
            "telephone_number": "225-765-3111",
            "fax_number": "225-765-3114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7145 PERKINS ROAD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084322",
            "telephone_number": "225-765-3111",
            "fax_number": "225-765-3114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10415 Wallace Alley St",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376633936",
            "country_code": "US",
            "telephone_number": "423-968-4050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKUNGBOWA",
        "first_name": "ROLAND",
        "middle_name": "OGOMWEN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "AP04753",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "37502",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "RN-096621-AP04753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.