Foundation Family Practice PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

FOUNDATION FAMILY PRACTICE PLLC

Practice address

3120 Capital Way Unit 602
Fort Worth, TX 76177-4305

Phone

(714) 704-3345

Fax

(714) 704-3463

NPI assigned

Jun 3, 2024

Last updated

Dec 6, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Oladotun Olushola Akinmurele, MDNPI 1013221969

Title

Ceo

Phone

(817) 704-3345

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Oladotun Olushola Akinmurele, MD

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1013221969
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733443200000",
    "number": "1699516914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 CAPITAL WAY UNIT 602",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761774305",
            "telephone_number": "817-704-3345",
            "fax_number": "817-704-3463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 CAPITAL WAY UNIT 602",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761774305",
            "telephone_number": "714-704-3345",
            "fax_number": "714-704-3463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATION FAMILY PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A",
        "authorized_official_last_name": "AKINMURELE",
        "authorized_official_first_name": "OLADOTUN",
        "authorized_official_middle_name": "OLUSHOLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "817-704-3345",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priya Foster, LPC
• Rachael Danielle Foster, MOT, MOTR
• Ryan D. Foster, PHD, LPC -S
• Shawn Travis Foster
• Thelma Louise Foster
• Foundation Iom LLC
• Foundations Counseling & Wellness, PLLC
• Founder Project RX, Inc. (Encore Pharmacy #1)
• Fountain of Life Home Health Care LLC
• Four Caring Hands

• Internal Medicine Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; 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.