Temitayo Gboluaje, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

C1-0026083 Issued in DE

Practice address

644 S Queen St Ste 106
Dover, DE 19904-3543

Phone

(302) 678-9002

Fax

(302) 678-9807

NPI assigned

Jul 23, 2016

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 DE

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

Specialty

GastroenterologyAlso: Internal Medicine

Education

Howard University College of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

First State Gastroenterology AssociationGroup PAC ID 0547586471, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bayhealth Medical Center, Kent Campus Hospital, Dover, DE, CCN 080004
• Bayhealth Hospital, Sussex Campus Hospital, Milford, DE, CCN 080009
• Christiana Hospital Hospital, Newark, DE, CCN 080001

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tgbolujae@fsg-de.direct.office.nextgen.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• First State Gastroenterology Association

  • Specialist
  • Dover, DE
  • NPI 1023406055
  Medicare reassignment Care Compare group NPD

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

• Bayhealth Medical Center, Inc.

  • General Acute Care Hospital
  • Milford, DE
  • NPI 1023006434
  Care Compare affiliation
• Bayhealth Medical Center, Inc.

  • General Acute Care Hospital
  • Dover, DE
  • NPI 1467546135
  Care Compare affiliation
• Christiana Care Health Services, Inc.

  • General Acute Care Hospital
  • Wilmington, DE
  • NPI 1134194038
  Care Compare affiliation

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

{
    "created_epoch": "1469232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1700339934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 S QUEEN ST STE 106",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043543",
            "telephone_number": "302-678-9002",
            "fax_number": "302-678-9807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 S QUEEN ST STE 106",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043543",
            "telephone_number": "302-678-9002",
            "fax_number": "302-678-9807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GBOLUAJE",
        "first_name": "TEMITAYO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-23",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "DE",
            "license": "C1-0026083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharna' Garrett, DPT
• Gary T. Quiroga, MD PA
• Virginia Gaschler
• Rebecca Leann Gazze-McIlroy, D.O.
• Dehdo Gbadyu
• Deekai Gbonimy
• Wendi Gearhart
• Azeb Gebre, PH.D., BCBA
• Kidanewold T Geda, PHARMD
• Amy Gehres

• Gastroenterology Physician in Dover, DE
• Providers in Dover, DE by specialty
• Gastroenterology Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.

Verify at the official NPI Registry.