NPIMap

Individual provider Active NPI

Moshood Olatinwo, MD

  • Obstetrics & Gynecology Physician
  • Natchitoches, LA
National Provider Identifier
1730189952
Registry record updated Apr 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD.203547 Issued in LA
Practice address
617A Bienville St
Natchitoches, LA 71457-5730
Phone
(318) 352-1108
Fax
(318) 352-1106
NPI assigned
Jul 29, 2005
Last updated
Apr 20, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD.203547 LA Primary

Addresses

Primary practice location

617A Bienville St
Natchitoches, LA 71457-5730

Mailing address

617A Bienville St
Natchitoches, LA 71457-5730
Phone (318) 352-1108

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100518000811 LA Practitioner - Obstetrics/Gynecology 3375637713 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NRMC Physician Ipa IncGroup PAC ID 9234400300, 30 clinicians

Practice addresses (Care Compare)

Natchitoches, LA 71457
Phone (318) 792-9556

501 Keyser Ave
Natchitoches, LA 71457-6018
Phone 31821457701144

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue170
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.203547LAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit OB GYN LLC Obstetrics & Gynecology CurrentSince Mar 1, 2010 Accepting new patients
NRMC Physician Ipa Inc CurrentSince Jul 18, 2025 Accepting new patients
Christus Health Central Louisiana Past Accepting new patients
Natchitoches Parish Hospital Service District Past Accepting new patients
Morehouse Healthcare, Inc. Obstetrics & Gynecology PastSince Jul 1, 2012 Accepting new patients
NRMC Physician Ipa Inc Obstetrics & Gynecology Past Accepting new patients

Locations

501 Keyser Ave
Natchitoches, LA 71457
Phone (318) 214-4200

617 Bienville St
Ste A
Natchitoches, LA 71457
Phone (318) 238-4604

627 Bienville Cir
Natchitoches, LA 71457
Phone (318) 214-5773

655 Bienville Cir
Natchitoches, LA 71457
Phone (318) 238-3652

Interoperability endpoints

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natchitoches, LA

Sources for this page

Verify at the official NPI Registry.