Individual provider Active NPI

Thomas Adekunle Owolabi Jr., DPM

  • Foot & Ankle Surgery Podiatrist
  • Sugar Land, TX
National Provider Identifier
1649732983
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
3135 Issued in TX
Practice address
2205 Williams Trace Blvd Ste 106
Sugar Land, TX 77478-4443
Phone
(832) 515-9249
Fax
(713) 583-2372
NPI assigned
Apr 4, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 3135 TX Primary

Addresses

Primary practice location

2205 Williams Trace Blvd Ste 106
Sugar Land, TX 77478-4443

Mailing address

2205 Williams Trace Blvd Ste 106
Sugar Land, TX 77478-4443
Phone (832) 515-9249

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220522000028 TX Practitioner - Podiatry 3779960208 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2205 Williams Trace Blvd
Suite 106
Sugar Land, TX 77478-4443
Phone (281) 891-3668

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue77
Removal of nail tissue41
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Owolabi Jr. Holdings LLC Foot & Ankle Surgery CurrentSince Nov 5, 2022 Accepting new patients
Q-Health Partners, PLLC CurrentSince Jan 1, 2023 Accepting new patients

Locations

7015 Almeda Rd
Ste 3
Houston, TX 77054
Phone (713) 520-6875

1050 Gemini St
Ste 101
Houston, TX 77058
Phone (281) 560-3200

2205 Williams Trace Blvd
Ste 106
Sugar Land, TX 77478
Phone (281) 491-0200

6801 Emmett F Lowry Expy
Texas City, TX 77591
Phone (409) 938-5095

Interoperability endpoints

  • Direct secure messaging: towolabi52217@memorialhermann.direct-ci.com

Organizations & group practices 2

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 10

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": "1554336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1649732983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 WILLIAMS TRACE BLVD STE 106",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784443",
            "telephone_number": "832-515-9249",
            "fax_number": "713-583-2372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 WILLIAMS TRACE BLVD STE 106",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784443",
            "telephone_number": "832-515-9249",
            "fax_number": "713-583-2372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWOLABI",
        "first_name": "THOMAS",
        "middle_name": "ADEKUNLE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-04",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "3135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.