Active NPI
Oludamilola Abidemi Olajide, M.D.
- Hematology & Oncology Physician
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 200400930
- Practice address
- 4420 Lake Boone TRL
Suite 200
Raleigh, NC 27607-7505 - Phone
- (919) 784-6818
- Fax
- (919) 784-6826
- NPI assigned
- Apr 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 200400930 | NC | Primary |
Addresses
Primary practice location
4420 Lake Boone TRL
Suite 200
Raleigh, NC 27607-7505
Mailing address
4420 Lake Boone TRL
Suite 200
Raleigh, NC 27607-7505
Phone (919) 784-6818
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5903626 | Medicaid | NC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | oolajide12191@direct.UNC.nchie.net | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2901 Blue Ridge Rd
Raleigh, NC 27607-6423
Phone (919) 784-3105
Hospital & facility affiliations
- Unc Hospitals
- Rex Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200400930 | NC | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rex Hospital, Inc | Current | Accepting new patients | |
| North Carolina MG, LLC | Hematology & Oncology | Current | Accepting new patients |
| Rex Hospital Inc | Current | Accepting new patients | |
| Rex Hospital Inc | Current | Accepting new patients | |
| Rex Hospital, Inc. | Past | Accepting new patients | |
| Rex Hospital Inc | Past | Accepting new patients |
Locations
1515 SW Cary Pkwy
Ste 200
Cary, NC 27511
Phone (919) 387-3178
4420 Lake Boone Trl
#200
Raleigh, NC 27607
Phone (919) 784-6818
4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034
2901 Blue Ridge Rd
Raleigh, NC 27607
Phone (919) 784-3105
4420 Lake Boone Trl
Ste 200
Raleigh, NC 27607
Phone (919) 784-1097
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Raleigh, NC
- NPI 1144248683
-
- Otolaryngology Physician
- Cary, NC
- NPI 1669801155
-
- Pharmacy
- Raleigh, NC
- NPI 1174624803
-
- Cardiovascular Disease Physician
- Raleigh, NC
- NPI 1972939643
-
- Nutrition Education Nutritionist
- Raleigh, NC
- NPI 1821472572
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Raleigh, NC
- NPI 1497797088
-
- General Acute Care Hospital
- Chapel Hill, NC
- NPI 1932208576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686614400000",
"number": "1699730721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4420 LAKE BOONE TRL",
"address_2": "SUITE 200",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276077505",
"telephone_number": "919-784-6818",
"fax_number": "919-784-6826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4420 LAKE BOONE TRL",
"address_2": "SUITE 200",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276077505",
"telephone_number": "919-784-6818",
"fax_number": "919-784-6826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLAJIDE",
"first_name": "OLUDAMILOLA",
"middle_name": "ABIDEMI",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-20",
"last_updated": "2023-06-13",
"certification_date": "2023-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NC",
"license": "200400930",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5903626",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "oolajide12191@direct.UNC.nchie.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "4420 Lake Boone Trl",
"address_2": "Suite 200",
"city": "Raleigh",
"state": "NC",
"country_code": "US",
"postal_code": "276077505",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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.