Olusegun Osundele, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

127837 Issued in NY

Practice address

2825 Parklawn Dr
Midwest City, OK 73110-4201

Phone

(405) 610-8363

NPI assigned

Sep 5, 2019

Sex

Male

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

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

John Kimball Anesthesia LLCGroup PAC ID 4587010855, 9 clinicians

Emergenchealth PLLCGroup PAC ID 1355606641, 1,037 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Matagorda Regional Medical Center Hospital, Bay City, TX, CCN 450465
• St Luke'S Sugar Land Hospital Hospital, Sugar Land, TX, CCN 670053

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Emergenchealth PLLC

  • Anesthesiology Physician
  • Fort Worth, TX
  • NPI 1467970897

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• John Kimball Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Bay City, TX
  • NPI 1699552315

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Cahrmc

  • Critical Access Hospital
  • Eagle Lake, TX
  • NPI 1205164928
  Medicare reassignment NPD
• Texans Anesthesia Associates PLLC

  • Anesthesiology Physician
  • Webster, TX
  • NPI 1275733982

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Youngs Professional Services LLC

  • Certified Registered Nurse Anesthetist
  • New Iberia, LA
  • NPI 1922178599

  Nurse Anesthetist, Certified Registered, TX

  Medicare reassignment NPD
• Cahrmc

  • Geriatric Psychiatry Physician
  • Eagle Lake, TX
  • NPI 1326560442
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Matagorda County Hospital District

  • General Acute Care Hospital
  • Bay City, TX
  • NPI 1679678767
  Care Compare affiliation
• St Lukes Community Development Corporation - Sugar Land

  • General Acute Care Hospital
  • Sugar Land, TX
  • NPI 1659559573
  Care Compare affiliation

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

{
    "created_epoch": "1567641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1699324350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 PARKLAWN DR",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731104201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 PARKLAWN DR",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731104201",
            "telephone_number": "405-610-8363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSUNDELE",
        "first_name": "OLUSEGUN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-05",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "127837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oral Surgeons of Oklahoma LLC
• Shalanda Irene Orange
• Mireya Nathalie Ortega, RBT
• Ortho Central
• Orthopaedic and Sports Medicine Center-Norman, P.C.
• Kadee Overbey
• Candice Marie Overton
• Bret R Owen, P.A.
• Debra Kay Owen, MA, LMFT CANDIDATE
• Donald Allen Owens

• Certified Registered Nurse Anesthetist in Midwest City, OK
• Providers in Midwest City, OK by specialty
• Certified Registered Nurse Anesthetist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.