Individual provider Active NPI

Oyeladun Oyenuga, M.D.

  • Internal Medicine Physician
  • Emporia, KS
National Provider Identifier
1720495286
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
04-40090 Issued in KS
Practice address
1201 W 12TH Ave
Emporia, KS 66801-2504
Phone
(620) 343-6800
Fax
(620) 341-7821
NPI assigned
Jul 16, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 04-40090 KS Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1201 W 12TH Ave
Emporia, KS 66801-2504

Mailing address

1201 W 12TH Ave
Emporia, KS 66801-2504
Phone (620) 343-6800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20170824002640 KS Practitioner - Internal Medicine 5799057709 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Columbia University College of Physicians and Surgeons, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newman Memorial County HospitalGroup PAC ID 5193638526, shared by 6 NPIs, 61 clinicians

Practice addresses (Care Compare)

1201 W 12TH Ave
Emporia, KS 66801-2504
Phone (620) 343-6800

Hospital & facility affiliations

  • Newman Regional Health Hospital, Emporia, KS, CCN 171384
  • Wesley Medical Center Hospital, Wichita, KS, CCN 170123

Merit-based Incentive Payment System (MIPS)

Final score
85.98 of 100Reported as group
Quality
74.5
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-40090KSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newman Memorial County Hospital Current Accepting new patients
Newman Memorial County Hospital CurrentSince Sep 19, 2017 Accepting new patients
Newman Memorial County Hospital Current Accepting new patients
Newman Memorial County Hospital CurrentSince Sep 19, 2017 Accepting new patients

Locations

1301 W 12th Ave
Ste 301
Emporia, KS 66801
Phone (620) 343-2376

1201 W 12th Ave
Emporia, KS 66801
Phone (620) 343-2376

Organizations & group practices 4

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 4

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": "1405468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1720495286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 W 12TH AVE",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668012504",
            "telephone_number": "620-343-6800",
            "fax_number": "620-341-7821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 W 12TH AVE",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668012504",
            "telephone_number": "620-343-6800",
            "fax_number": "620-341-7821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OYENUGA",
        "first_name": "OYELADUN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-16",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "04-40090",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Emporia, KS

Sources for this page

Verify at the official NPI Registry.