Active NPI
Olakunle Idowu, M.D.
- Anesthesiology Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- P4873
- Practice address
- 1515 Holcombe Blvd
Houston, TX 77030 - Phone
- (713) 792-6161
- NPI assigned
- Oct 9, 2009
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 61369 | CT | |
| Critical Care Medicine (Anesthesiology) Physician | 207LC0200X | P4873 | TX | |
| Critical Care Medicine (Anesthesiology) Physician | 207LC0200X | 61369 | CT | |
| Anesthesiology Physician | 207L00000X | P4873 | TX | Primary |
Addresses
Primary practice location
1515 Holcombe Blvd
Houston, TX 77030
Mailing address
P O Box 4439
Houston, TX 77210-4439
Phone (713) 792-2991
Other practice location 1
20 York St
New Haven, CT 06510
Phone (203) 785-2802
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 340180403 | Medicaid | TX | |
| 8EC546 | Other | TX | BCBS |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Fellowship Dr
Conroe, TX 77384-4797
Phone (713) 563-0050
13900 Katy Fwy
Houston, TX 77079-1012
Phone (713) 563-9600
2130 W Holcombe Blvd
Univ of TX M D Ande Life Sciences Plaza
Houston, TX 77030-4009
Phone (713) 592-5433
9922 Louetta Rd
Houston, TX 77070-1468
Phone (713) 794-5500
Hospital & facility affiliations
- University of Texas M D Anderson Cancer Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.29 of 100
- Quality
- 70.82
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 67.65
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P4873 | TX | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Idoc Telehealth Solutions, Inc | Current | Accepting new patients | |
| Physicians Referral Service | Current | Accepting new patients |
Locations
1515 Holcombe Blvd
Houston, TX 77030
Phone (713) 794-5446
7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000
1515 Holcombe Blvd
#R4212
Houston, TX 77030
Phone (713) 794-5446
2001 Hermann Dr
Houston, TX 77004
Phone (713) 285-5500
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Houston, TX
- NPI 1073574810
-
- Critical Care Medicine (Internal Medicine) Physician
- Houston, TX
- NPI 1851783534
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Houston, TX
- NPI 1174582050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562025600000",
"number": "1598090409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P O BOX 4439",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772104439",
"telephone_number": "713-792-2991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 HOLCOMBE BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77030",
"telephone_number": "713-792-6161"
}
],
"practiceLocations": [
{
"address_1": "20 York St",
"address_purpose": "LOCATION",
"city": "New Haven",
"state": "CT",
"postal_code": "06510",
"country_code": "US",
"telephone_number": "203-785-2802",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IDOWU",
"first_name": "OLAKUNLE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-10-09",
"last_updated": "2019-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CT",
"license": "61369",
"primary": false
},
{
"code": "207LC0200X",
"taxonomy_group": "",
"desc": "Anesthesiology, Critical Care Medicine",
"state": "TX",
"license": "P4873",
"primary": false
},
{
"code": "207LC0200X",
"taxonomy_group": "",
"desc": "Anesthesiology, Critical Care Medicine",
"state": "CT",
"license": "61369",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "P4873",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "340180403",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8EC546",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; 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.