Individual provider Active NPI

Oludamilola Abidemi Olajide, M.D.

  • Hematology & Oncology Physician
  • Raleigh, NC
National Provider Identifier
1699730721
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
200400930 Issued in NC
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

Updated by the provider on Jun 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
5903626MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060613000338 NC Practitioner - Hematology/Oncology 1355353236 Reassigns benefits to 1 organization

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
North Carolina MG LLCGroup PAC ID 1951828847, 723 clinicians

Practice addresses (Care Compare)

2901 Blue Ridge Rd
Raleigh, NC 27607-6423
Phone (919) 784-3105

Hospital & facility affiliations

  • Unc Hospitals Hospital, Chapel Hill, NC, CCN 340061
  • Rex Hospital Hospital, Raleigh, NC, CCN 340114

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200400930NCMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rex Hospital, Inc CurrentSince Jun 20, 2014 Accepting new patients
North Carolina MG, LLC Hematology & Oncology CurrentSince Nov 1, 2025 Accepting new patients
Rex Hospital Inc CurrentSince Jun 20, 2014 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.

Hospital & facility affiliations 2

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

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

Verify at the official NPI Registry.