Individual provider Active NPI

Olamide Idowu, FNP

  • Family Nurse Practitioner
  • Madison, AL
National Provider Identifier
1639928120
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-150441 Issued in AL
Practice address
44 Hughes Rd Ste 2100
Madison, AL 35758-3023
Phone
(256) 325-2772
NPI assigned
May 16, 2024
Last updated
May 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-150441 AL Primary

Addresses

Primary practice location

44 Hughes Rd Ste 2100
Madison, AL 35758-3023

Mailing address

3408 Wall Triana Hwy Unit 21153
Huntsville, AL 35813-2045
Phone (256) 457-4568

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240730002392 AL Practitioner - Nurse Practitioner 9032656806 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Apex Family Medicine LLCGroup PAC ID 3274606827, 2 clinicians

Practice addresses (Care Compare)

44 Hughes Rd
Suite 2100
Madison, AL 35758-3023
Phone (256) 325-2772

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-150441ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Family Medicine LLC CurrentSince Jul 1, 2024 Accepting new patients

Locations

44 Hughes Rd
Ste 2100
Madison, AL 35758
Phone (256) 325-2772

Interoperability endpoints

  • Direct secure messaging: olamide.idowu@1790.securemail.prognocis.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1715817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1639928120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3408 WALL TRIANA HWY UNIT 21153",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358132045",
            "telephone_number": "256-457-4568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 HUGHES RD STE 2100",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357583023",
            "telephone_number": "256-325-2772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IDOWU",
        "first_name": "OLAMIDE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-16",
        "last_updated": "2024-05-16",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-150441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

Verify at the official NPI Registry.