Individual provider Active NPI

Oyewole Jacob Olanrewaju, MD

  • Family Medicine Physician
  • Abilene, TX
National Provider Identifier
1740609593
Registry record updated May 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
S3729 Issued in TX
Practice address
1150 N 18TH St Ste 300
Abilene, TX 79601-2931
Phone
(325) 670-6460
Fax
(833) 680-9963
NPI assigned
Apr 9, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X S3729 TX Primary

Addresses

Primary practice location

1150 N 18TH St Ste 300
Abilene, TX 79601-2931

Mailing address

1150 N 18TH St Ste 300
Abilene, TX 79601-2931
Phone (325) 670-6460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20191021002492 TX Practitioner - Family Practice 5698040525 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hendrick Provider NetworkGroup PAC ID 9739162181, 234 clinicians
The West Texas Rehabilitation CenterGroup PAC ID 2860301215, shared by 5 NPIs, 444 clinicians

Practice addresses (Care Compare)

1150 N 18TH St
Suite 300
Abilene, TX 79601-2931
Phone (325) 670-6460

4601 Hartford St
Abilene, TX 79605-4603
Phone (325) 793-3411

Hospital & facility affiliations

  • Hendrick Home Health Home health agency, Abilene, TX, CCN 457761
  • Angels Care Home Health of San Angelo Home health agency, San Angelo, TX, CCN 679429
  • Enhabit Home Health Home health agency, Abilene, TX, CCN 679184
  • Hendrick Medical Center Hospital, Abilene, TX, CCN 450229

Merit-based Incentive Payment System (MIPS)

Final score
78.51 of 100Reported as group
Quality
63.02
Promoting interoperability
100
Improvement activities
40
Cost
65.34

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hendrick Medical Center Current Accepting new patients
Hendrick Provider Network CurrentSince Nov 4, 2019 Accepting new patients
Hendrick Provider Network Family Medicine CurrentSince Nov 4, 2019 Accepting new patients

Locations

1150 N 18th St
Ste 300
Abilene, TX 79601
Phone (325) 670-2255

1904 Pine St
Ste 4A
Abilene, TX 79601
Phone (325) 437-4020

Interoperability endpoints

  • Direct secure messaging: oyewole.olanrewaju.1@21794.direct.athenahealth.com
  • Direct secure messaging: oyewoleolanrewaju@hmc.allscriptsdirect.net

Organizations & group practices 3

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": "1397001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589932800000",
    "number": "1740609593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 N 18TH ST STE 300",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012931",
            "telephone_number": "325-670-6460",
            "fax_number": "833-680-9963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 N 18TH ST STE 300",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012931",
            "telephone_number": "325-670-6460",
            "fax_number": "833-680-9963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLANREWAJU",
        "first_name": "OYEWOLE",
        "middle_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-09",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "S3729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.