Active NPI
Patrick Toluwatele Ogidan, M.D.
- Internal Medicine Physician
- Shenandoah, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- P9927
- Practice address
- 9201 Pinecroft Dr Ste 200
Shenandoah, TX 77380-3889 - Phone
- (281) 863-9554
- Fax
- (832) 813-8865
- NPI assigned
- Mar 30, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | P9927 | TX | Primary |
Addresses
Primary practice location
9201 Pinecroft Dr Ste 200
Shenandoah, TX 77380-3889
Mailing address
9201 Pinecroft Dr Ste 200
Shenandoah, TX 77380-3889
Phone (281) 863-9554
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 339993301 | Medicaid | TX |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141114000966 | TX | Practitioner - Internal Medicine | 1254553811 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Albert Einstein College of Medicine of Yeshiva University, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Houston ER Physicians, LLCWoodlands Diagnostic Clinic PA
Practice addresses (Care Compare)
837 Cypress Creek Pkwy
Suite 111
Houston, TX 77090-3422
Phone (281) 453-7150
9201 Pinecroft Dr
Suite 200
Shenandoah, TX 77380-3889
Phone (281) 863-9554
Hospital & facility affiliations
- Phoenix Healthcare Services, Inc
- Accentcare Home Health of Houston - South, LLC
- Premier Hospice
- Tops Surgical Specialty Hospital
- Memorial Hermann Hospital System
- Houston Methodist the Woodlands Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P9927 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Houston ER Physicians, LLC | Current | Accepting new patients | |
| Woodlands Diagnostic Clinic, PA | Current | Accepting new patients |
Locations
837 Cypress Creek Pkwy
Ste 111
Houston, TX 77090
Phone (281) 453-7150
800 Peakwood Dr
Ste 4F
Houston, TX 77090
Phone (832) 232-5673
9201 Pinecroft Dr
Ste 200
Shenandoah, TX 77380
Phone (281) 394-4704
9201 Pinecroft Dr
Fl 2
Shenandoah, TX 77380
Phone (281) 943-2704
2306 Rayford Rd
Spring, TX 77386
Phone (281) 453-7150
5037B FM 2920 Rd
Spring, TX 77388
Phone (281) 453-7777
2306 Rayford Rd
Ste 200
Spring, TX 77386
Phone (281) 453-7777
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- pogidan150654@memorialhermann.direct-ci.com
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Premier Hospice | Hospice | Contracted Managing Employee | Feb 9, 2023 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Community Based Hospice Care Agency
- Houston, TX
- NPI 1124561055
Contracted Managing Employee
Organizations & group practices 3
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 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Sugar Land, TX
- NPI 1477250140
-
- Home Health Agency
- Houston, TX
- NPI 1558456624
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715126400000",
"number": "1629367602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9201 PINECROFT DR STE 200",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "773803889",
"telephone_number": "281-863-9554",
"fax_number": "281-651-4818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9201 PINECROFT DR STE 200",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "773803889",
"telephone_number": "281-863-9554",
"fax_number": "832-813-8865"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OGIDAN",
"first_name": "PATRICK",
"middle_name": "TOLUWATELE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-30",
"last_updated": "2024-05-08",
"certification_date": "2024-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "P9927",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "339993301",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Shenandoah, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.