Individual provider Active NPI

Olujimi Jegede

  • Infectious Disease Physician
  • Saint Joseph, MO
National Provider Identifier
1609396571
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
2020019629 Issued in MO
Practice address
901 Heartland Rd Ste 4840
Saint Joseph, MO 64506-6202
Phone
(816) 271-1346
Fax
(816) 271-1344
NPI assigned
Jun 22, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 94-10198 KS
Internal Medicine Physician 207R00000X 2017016917 MO
Infectious Disease Physician 207RI0200X 2020019629 MO Primary

Addresses

Primary practice location

901 Heartland Rd Ste 4840
Saint Joseph, MO 64506-6202

Mailing address

5301 Faraon St Ste 120
Saint Joseph, MO 64506-3512
Phone (816) 271-1346

Other practice location 1

3901 Rainbow Blvd
Kansas City, KS 66160-8500
Phone (573) 882-4464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20220830000750 MO Practitioner - Infectious DiseasePractitioner - Internal Medicine 8820368343 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heartland Regional Medical CenterGroup PAC ID 6709772767, 394 clinicians

Practice addresses (Care Compare)

2016 S Main St
Mosaic Life Care
Maryville, MO 64468-2655
Phone (660) 562-2600

2024 S Main St
Maryville, MO 64468-2655

5202 Faraon St
Suite a
Saint Joseph, MO 64506-3840
Phone (816) 271-1067

5301 Faraon St
Saint Joseph, MO 64506-3512
Phone (816) 271-7546

5325 Faraon St
Saint Joseph, MO 64506-3488
Phone (816) 271-3500

901 Heartland Rd
Saint Joseph, MO 64506-6201

901 Heartland Rd
Saint Joseph, MO 64506-6202

Hospital & facility affiliations

  • Mosaic Life Care at St Joseph Hospital, Saint Joseph, MO, CCN 260006
  • Mosaic Medical Center - Maryville Hospital, Maryville, MO, CCN 261340
  • Community Hospital Association Hospital, Fairfax, MO, CCN 261303
  • Heartland Regional Medical Center Inpatient rehabilitation facility, St. Joseph, MO, CCN 26T006
  • Mosiac Life Care at St Joseph Long-term care hospital, Saint Joseph, MO, CCN 262019

Merit-based Incentive Payment System (MIPS)

Final score
84.76 of 100Reported as group
Quality
74.35
Promoting interoperability
100
Improvement activities
40
Cost
74.85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
94-10198KSMDInternal Medicine Physician
2017016917MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Regional Medical Center Internal Medicine CurrentSince Sep 1, 2022 Accepting new patients
Mosaic Medical Center - Maryville CurrentSince Aug 22, 2023 Accepting new patients
Mosaic Medical Center - Maryville Internal Medicine CurrentSince Aug 22, 2023 Accepting new patients
Heartland Regional Medical Center Internal Medicine Current Accepting new patients
Heartland Regional Medical Center CurrentSince Sep 1, 2022 Accepting new patients

Locations

2016 S Main St
Maryville, MO 64468
Phone (660) 562-2525

5202 Faraon St
Ste A
Saint Joseph, MO 64506
Phone (816) 271-1070

5325 Faraon St
Saint Joseph, MO 64506
Phone (816) 271-3500

5301 Faraon St
Ste 120
Saint Joseph, MO 64506
Phone (816) 271-6406

901 Heartland Rd
Ste 2800
Saint Joseph, MO 64506
Phone (816) 271-1213

901 Heartland Rd
Ste 4840
Saint Joseph, MO 64506
Phone (816) 271-1346

Organizations & group practices 5

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.

Hospital & facility affiliations 5

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": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1609396571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 FARAON ST STE 120",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063512",
            "telephone_number": "816-271-1346",
            "fax_number": "816-271-1344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 HEARTLAND RD STE 4840",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645066202",
            "telephone_number": "816-271-1346",
            "fax_number": "816-271-1344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3901 Rainbow Blvd",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "KS",
            "postal_code": "661608500",
            "country_code": "US",
            "telephone_number": "573-882-4464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEGEDE",
        "first_name": "OLUJIMI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-22",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "94-10198",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2017016917",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MO",
            "license": "2020019629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

Verify at the official NPI Registry.