Individual provider Active NPI

Olusola O Kolade, M.D.

  • Internal Medicine Physician
  • Murfreesboro, TN
National Provider Identifier
1639497779
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
53932 Issued in TN
Practice address
1700 Medical Center Pkwy
Hospitalist Office
Murfreesboro, TN 37129-2245
Phone
(615) 396-4694
NPI assigned
May 13, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD2014-0710 NM
Internal Medicine Physician 207R00000X 53932 TN Primary

Addresses

Primary practice location

1700 Medical Center Pkwy
Hospitalist Office
Murfreesboro, TN 37129-2245

Mailing address

1700 Medical Center Pkwy
Hospitalist Office
Murfreesboro, TN 37129-2245
Phone (615) 396-4694

Other practice location 1

801 W Maple St
Farmington, NM 87401-5630
Phone (505) 609-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151228000122 NM Practitioner - Internal Medicine 0648592147 Reassigns benefits to 3 organizations
I20160509001839 TN Practitioner - Internal Medicine 0648592147 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
State University of New York at Stony Brook, School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalist Medicine Physicians of Texas PLLCGroup PAC ID 3476688318, 685 clinicians
San Juan Regional Medical Center, Inc.Group PAC ID 4587559505, 233 clinicians

Practice addresses (Care Compare)

2400 Unser Blvd SE
Rust Medical Center
Rio Rancho, NM 87124-4740
Phone (505) 253-7878

4820 E Main St
Farmington, NM 87402-8660

801 W Maple St
Farmington, NM 87401-5630

Hospital & facility affiliations

  • Plains Regional Medical Center Hospital, Clovis, NM, CCN 320022
  • San Juan Regional Medical Center Inc Hospital, Farmington, NM, CCN 320005
  • Chinle Comprehensive Health Care Facility Hospital, Chinle, AZ, CCN 030084

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
San Juan Regional Medical Center Inc Current Accepting new patients
Cogent Healthcare of Texas, PA Family Medicine CurrentSince Jan 1, 2022 Accepting new patients
San Juan Regional Medical Center Inc CurrentSince Jul 22, 2019 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Family Medicine CurrentSince Jun 20, 2018 Accepting new patients
Saint Thomas Medical Partners Family Medicine CurrentSince Mar 18, 2016 Accepting new patients
Hospitalist Medicine Physicians of New Mexico-TCG LLC Internal Medicine CurrentSince Sep 20, 2018 Accepting new patients
San Juan Regional Medical Center Inc Family Medicine CurrentSince Jul 22, 2019 Accepting new patients
San Juan Regional Medical Center, Inc. Past Accepting new patients
Presbyterian Healthcare Services Internal Medicine Past Accepting new patients
Cookeville Regional Medical Center Past Accepting new patients

Locations

2100 N Mlk Blvd
Clovis, NM 88101
Phone (505) 769-2141

801 W Maple St
Farmington, NM 87401
Phone (505) 325-5011

4820 E Main St
Ste 2
Farmington, NM 87402
Phone (505) 609-6610

2400 Unser Blvd SE
Rio Rancho, NM 87124
Phone (505) 253-0000

1700 Medical Center Pkwy
Ofc
Murfreesboro, TN 37129
Phone (615) 396-4694

300 20th Ave N
Fl 9
Nashville, TN 37203

4220 Harding Pike
Ste 500
Nashville, TN 37205
Phone (615) 222-2111

Organizations & group practices 10

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 3

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": "1273708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1639497779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 MEDICAL CENTER PKWY",
            "address_2": "HOSPITALIST OFFICE",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371292245",
            "telephone_number": "615-396-4694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 MEDICAL CENTER PKWY",
            "address_2": "HOSPITALIST OFFICE",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371292245",
            "telephone_number": "615-396-4694"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 W Maple St",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "NM",
            "postal_code": "874015630",
            "country_code": "US",
            "telephone_number": "505-609-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOLADE",
        "first_name": "OLUSOLA",
        "middle_name": "O",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-13",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "MD2014-0710",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "53932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.