Mobolaji M Opeola, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

M9555 Issued in TX

Practice address

9018 Culebra Rd Ste 104
San Antonio, TX 78251-2891

Phone

(830) 276-2600

Fax

(830) 276-2626

NPI assigned

Jul 11, 2007

Last updated

Dec 30, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Westover Hills DermatologyGroup PAC ID 4789968835, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.94 of 100Reported as individual

Quality

77.87

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Westover Hills Dermatology

  • Specialist
  • San Antonio, TX
  • NPI 1366980047
  Medicare reassignment Care Compare group NPD Authorized official
• Epiphany Dermatology PA

  • Dermatology Physician
  • Waco, TX
  • NPI 1043615263
  NPD
• Malouf Dermatology Dallas PA

  • Dermatology Physician
  • Dallas, TX
  • NPI 1326207945
  NPD (past)

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672358400000",
    "number": "1578762563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9018 CULEBRA RD STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782512891",
            "telephone_number": "830-276-2600",
            "fax_number": "830-276-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9018 CULEBRA RD STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782512891",
            "telephone_number": "830-276-2600",
            "fax_number": "830-276-2626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12702 Toepperwein Rd Ste 135",
            "address_purpose": "LOCATION",
            "city": "Live Oak",
            "state": "TX",
            "postal_code": "782333250",
            "country_code": "US",
            "telephone_number": "830-276-2600",
            "fax_number": "830-276-2626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OPEOLA",
        "first_name": "MOBOLAJI",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-11",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "M9555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Open Road Counseling PLLC
• Open to Healing Incorporated
• Kathleen Ann Openshaw, LCSW
• Scout Katherine Openshaw, MD
• Opensided MRI of San Antonio LLC
• Mojibola Opeola, RPH
• Ophthalmology Associates of San Antonio
• Ophthalmology Associates of San Antonio
• Ophthalmology Associates of San Antonio Dba I.Wear by Oasa
• Ophthalmology Associates of San Antonio Dba I.Wear by Oasa

• Dermatology Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2022; 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.

Verify at the official NPI Registry.