Moshood Olatinwo, MD

Key facts

NPI

1730189952

Entity type

Individual (NPI type 1)

Primary specialty

Obstetrics & Gynecology Physician 207V00000X

License

MD.203547 (LA)

Practice address

617A Bienville St
Natchitoches, LA 71457-5730

Phone

(318) 352-1108

Fax

(318) 352-1106

NPI assigned

Jul 29, 2005

Sex

Male

Sole proprietor

No

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.

• NRMC Physician Ipa Inc Surgery Physician · Natchitoches, LA · NPI 1497283733
  Medicare reassignment Care Compare group NPD LA
• Summit OB GYN LLC Obstetrics & Gynecology Physician · Natchitoches, LA · NPI 1124340054
  Medicare reassignment NPD Authorized official LA · OBSTETRICS & GYNECOLOGY
• Christus Health Central Louisiana Women's Health Nurse Practitioner · Alexandria, LA · NPI 1174803936
  NPD (past)
• Natchitoches Parish Hospital Service District General Acute Care Hospital · Natchitoches, LA · NPI 1689676835
  NPD (past)
• NRMC Physician Ipa Inc Obstetrics & Gynecology Physician · Natchitoches, LA · NPI 1922568039
  NPD (past) OBSTETRICS & GYNECOLOGY
• Morehouse Healthcare, Inc. Cardiovascular Disease Physician · Atlanta, GA · NPI 1801832324
  NPD (past) OBSTETRICS & GYNECOLOGY

Hospital & facility affiliations 6

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

• Natchitoches Parish Hospital Service District Rural Health Clinic/Center · Campti, LA · NPI 1093933897
  Care Compare affiliation Hospital
• Natchitoches Parish Hospital Service District Obstetrics & Gynecology Physician · Natchitoches, LA · NPI 1568897692
  Care Compare affiliation Hospital
• Natchitoches Parish Hospital Service District General Acute Care Hospital · Natchitoches, LA · NPI 1639243967
  Care Compare affiliation Hospital
• Natchitoches Parish Hospital Service District General Acute Care Hospital · Natchitoches, LA · NPI 1689676835
  Care Compare affiliation Hospital
• Natchitoches Parish Hospital Service District Clinic/Center · Natchitoches, LA · NPI 1821414897
  Care Compare affiliation Hospital
• Natchitoches Parish Hospital Service District Radiation Oncology Physician · Natchitoches, LA · NPI 1972171072
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Obstetrics/Gynecology

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

NRMC Physician Ipa Inc (30 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Natchitoches Regional Medical Center Hospital · Natchitoches, LA · CCN 190007

Procedures performed for Medicare patients

Medicare participation

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: moshood.olatinwo@direct.la-hie.org

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 20, 2015.

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429488000000",
    "number": "1730189952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617A BIENVILLE ST",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714575730",
            "telephone_number": "318-352-1108",
            "fax_number": "318-352-1106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617A BIENVILLE ST",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714575730",
            "telephone_number": "318-352-1108",
            "fax_number": "318-352-1106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLATINWO",
        "first_name": "MOSHOOD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2015-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "MD.203547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009911284",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09001250",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2100882",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000973233",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - 1720 CENTER ST",
            "identifier": "515542695",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - 1610 CENTER ST",
            "identifier": "51542720",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009911291",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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All providers in Natchitoches, LA · Obstetrics & Gynecology Physician in Louisiana