Bolajoko O Kwentua, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

118275 Issued in TX

Practice address

10103 Lilac Croft LN
Richmond, TX 77406-1776

Phone

(832) 724-1455

NPI assigned

Dec 19, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pecan Health PLLCGroup PAC ID 5193170363, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bolajoko.kwentua.1@28696.direct.athenahealth.com

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.

• Pecan Health PLLC

  • General Practice Physician
  • Jersey Village, TX
  • NPI 1265210751

  Family

  Medicare reassignment Care Compare group NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1734566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1669280889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10103 LILAC CROFT LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774061776",
            "telephone_number": "832-724-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10103 LILAC CROFT LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774061776",
            "telephone_number": "832-724-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWENTUA",
        "first_name": "BOLAJOKO",
        "middle_name": "O",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-19",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "118275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunday Kumuyi
• Kunmiq Transportation Group
• Cindu Hendry Kunthara, PA-C
• Biju Kurian, RPH
• Rose Onyemoyi Kuyatsemi
• Kwikcare Providers LLC
• Laboratory Corporation of America
• Lades Home LLC
• Estelita Lajzerowicz
• Lake Area Mobile Laboratories, LLC

• Family Nurse Practitioner in Richmond, TX
• Providers in Richmond, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.

Verify at the official NPI Registry.