Individual provider Active NPI

Abefe Babatunde Oduntan

  • Critical Care Medicine Nurse Practitioner
  • Sugar Land, TX
National Provider Identifier
1699623983
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Nurse PractitionerTaxonomy code 363LC0200X
License
1229519 Issued in TX
Practice address
16555 Southwest Fwy
Sugar Land, TX 77479-2668
Phone
(281) 274-7958
Fax
(281) 274-8631
NPI assigned
Mar 20, 2026
Last updated
Mar 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Nurse Practitioner 363LC0200X 1229519 TX Primary

Addresses

Primary practice location

16555 Southwest Fwy
Sugar Land, TX 77479-2668

Mailing address

822 Modesto Dr
Rosharon, TX 77583-1944
Phone (281) 274-7958

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260506003610 TX Practitioner - Nurse Practitioner 4183192255 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6565 Fannin St
Houston, TX 77030-2703

7550 Greenbriar Dr
Houston, TX 77030-4508

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1229519TXMDCritical Care Medicine Nurse Practitioner

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1773964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1699623983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 MODESTO DR",
            "city": "ROSHARON",
            "state": "TX",
            "postal_code": "775831944",
            "telephone_number": "281-274-7958",
            "fax_number": "281-274-8631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16555 SOUTHWEST FWY",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792668",
            "telephone_number": "281-274-7958",
            "fax_number": "281-274-8631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODUNTAN",
        "first_name": "ABEFE",
        "middle_name": "BABATUNDE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-03-20",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "TX",
            "license": "1229519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.