Individual provider Active NPI

Oloyede O Olalowo, MD

  • Internal Medicine Physician
  • Yonkers, NY
National Provider Identifier
1639306244
Registry record updated Jun 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
253616 Issued in NY
Practice address
69 S Broadway
Geriatric Services, P.C.
Yonkers, NY 10701
Phone
(914) 376-5555
Fax
(914) 964-1477
NPI assigned
Jun 22, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 253616 NY Primary

Addresses

Primary practice location

69 S Broadway
Geriatric Services, P.C.
Yonkers, NY 10701

Mailing address

69 S Broadway
Geriatric Services, P.C.
Yonkers, NY 10701
Phone (914) 376-5555

Other identifiers 1

IdentifierTypeStateIssuer
253616OtherNYSTATE LICENSE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120803000814 TX Practitioner - Internal Medicine 8921150251 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Medicine Services of TX, PLLCGroup PAC ID 3274998067, 376 clinicians

Practice addresses (Care Compare)

1310 McCullough Ave
San Antonio, TX 78212-5601
Phone (210) 757-2200

7700 Floyd Curl Dr
San Antonio, TX 78229-3902
Phone (210) 575-4000

Hospital & facility affiliations

  • Methodist Hospital Hospital, San Antonio, TX, CCN 450388
  • Methodist Hospital Northeast Inpatient rehabilitation facility, Live Oak, TX, CCN 45T388

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Medicine Services of TX, PLLC CurrentSince Apr 1, 2023 Accepting new patients
Ipc Healthcare Services of Texas, PLLC Internal Medicine CurrentSince Jun 1, 2016 Accepting new patients
Methodist Healthcare System of San Antonio, LTD., L.L.P. Past Accepting new patients

Locations

12141 Richmond Ave
Houston, TX 77082
Phone (281) 558-3444

12412 Judson Rd
Live Oak, TX 78233
Phone (210) 646-5000

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

8026 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-8110

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

6700 W Interstate 10
San Antonio, TX 78201
Phone (210) 575-8289

7330 San Pedro Ave
Ste 540
San Antonio, TX 78216
Phone (210) 344-2673

1310 McCullough Ave
San Antonio, TX 78212
Phone (210) 208-2200

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

1139 E Sonterra Blvd
San Antonio, TX 78258
Phone (210) 638-2000

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 4

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": "1245628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245628800000",
    "number": "1639306244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 S BROADWAY",
            "address_2": "GERIATRIC SERVICES, P.C.",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "10701",
            "telephone_number": "914-376-5555",
            "fax_number": "914-964-1477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 S BROADWAY",
            "address_2": "GERIATRIC SERVICES, P.C.",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "10701",
            "telephone_number": "914-376-5555",
            "fax_number": "914-964-1477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLALOWO",
        "first_name": "OLOYEDE",
        "middle_name": "O",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-22",
        "last_updated": "2009-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "253616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "253616",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.