Olutimilehin Oyeniran, MD

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

330858 Issued in NY

Practice address

3274 Steinway St
Astoria, NY 11103-4006

Phone

(347) 354-1328

Fax

(332) 296-8382

NPI assigned

Apr 5, 2021

Last updated

Sep 22, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Sports Medicine

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New York Bone and Joint Specialists PLLCGroup PAC ID 0143320283, 19 clinicians

Health Wellness Medical Astoria PLLCGroup PAC ID 3173014925, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: olutimilehin.oyeniran.1@29151.direct.athenahealth.com

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.

• Health Wellness Medical Astoria PLLC

  • Sports Medicine (Family Medicine) Physician
  • Astoria, NY
  • NPI 1063381747
  Medicare reassignment Care Compare group NPD Authorized official
• New York Bone and Joint Specialists, PLLC

  • Physical Therapist
  • New York, NY
  • NPI 1811060619
  Medicare reassignment Care Compare group NPD
• Perry Ave Family Medical Center Inc

  • Family Medicine Physician
  • Bronx, NY
  • NPI 1619973518
  Medicare reassignment NPD
• Health Wellness Medical Astoria PLLC

  • Sports Medicine (Family Medicine) Physician
  • Astoria, NY
  • NPI 1427906338
  NPD Authorized official

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1710566195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 ASHLAND PL APT 1601",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112175590",
            "telephone_number": "908-344-8963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3274 STEINWAY ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111034006",
            "telephone_number": "347-354-1328",
            "fax_number": "332-296-8382"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "761 Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112384504",
            "country_code": "US",
            "telephone_number": "347-354-1328",
            "fax_number": "332-296-8382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OYENIRAN",
        "first_name": "OLUTIMILEHIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-05",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "CT",
            "license": "77510",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NY",
            "license": "330858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nada Otasevic
• Mohammad Youssef Otmankhel, DPT
• Younos Otmankhel
• Candice Overton, M.S. MHC
• Courtney Marie Owens
• Aditya Oza, MD
• Mary Paches
• Joan Padouvas, M.D.
• Daniel Pagan, PT
• Christopher Page

• Sports Medicine (Family Medicine) Physician in Astoria, NY
• Providers in Astoria, NY by specialty
• Sports Medicine (Family Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; 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.