Individual provider Active NPI

Adeola Olubukola Awujoola, MD

  • Pediatric Cardiology Physician
  • Baton Rouge, LA
National Provider Identifier
1679101497
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
350748 Issued in LA
Practice address
10310 The Grove Blvd
Baton Rouge, LA 70836-6455
Phone
(225) 761-5200
NPI assigned
Mar 28, 2020
Last updated
Aug 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X 350748 LA Primary

Addresses

Primary practice location

10310 The Grove Blvd
Baton Rouge, LA 70836-6455

Mailing address

1514 Jefferson Hwy
New Orleans, LA 70121-2451
Phone (504) 842-4000

Other practice location 1

15800 Professional Plz
Hammond, LA 70403-1453
Phone (225) 761-5200

Other practice location 2

24000 South Burnside Avenue
Gonzales, LA 70737
Phone (225) 761-5200

Other practice location 3

100 Womans Way
Baton Rouge, LA 70817-5100
Phone (225) 761-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20230526001815 NC Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 3173980695

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1585353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1679101497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 JEFFERSON HWY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701212451",
            "telephone_number": "504-842-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10310 THE GROVE BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708366455",
            "telephone_number": "225-761-5200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15800 Professional Plz",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "LA",
            "postal_code": "704031453",
            "country_code": "US",
            "telephone_number": "225-761-5200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24000 South Burnside Avenue",
            "address_purpose": "LOCATION",
            "city": "Gonzales",
            "state": "LA",
            "postal_code": "70737",
            "country_code": "US",
            "telephone_number": "225-761-5200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Womans Way",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708175100",
            "country_code": "US",
            "telephone_number": "225-761-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AWUJOOLA",
        "first_name": "ADEOLA",
        "middle_name": "OLUBUKOLA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-28",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "LA",
            "license": "350748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.