NPIMap

Individual provider Active NPI

Akinola O Ogundipe, M.D.

  • Hematology & Oncology Physician
  • Ponca City, OK
National Provider Identifier
1760433908
Registry record updated May 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
18134 Issued in OK
Practice address
609 Virginia Ave
Ponca City, OK 74601-2911
Phone
(580) 767-1300
Fax
(580) 765-4529
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2015

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 04-24516 KS
Hematology & Oncology Physician 207RH0003X 18134 OK Primary
Hematology (Internal Medicine) Physician 207RH0000X 18134 OK
Hematology & Oncology Physician 207RH0003X 04-24516 KS
Hematology (Internal Medicine) Physician 207RH0000X 04-24516 KS
Medical Oncology Physician 207RX0202X 18134 OK

Addresses

Primary practice location

609 Virginia Ave
Ponca City, OK 74601-2911

Mailing address

609 Virginia Ave
Ponca City, OK 74601-2911
Phone (580) 767-1300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, KS2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20091214000700 OK Practitioner - Hematology/OncologyPractitioner - Internal MedicinePractitioner - HematologyPractitioner - Medical Oncology 2264572775 Reassigns benefits to 1 organization
I20100331000600 KS Practitioner - Hematology/Oncology 2264572775 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Hematology, Internal Medicine, Medical Oncology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stillwater Medical Center AuthorityGroup PAC ID 2365353794, 155 clinicians
Coffeyville Regional Medical Center, Inc.Group PAC ID 9032108865, 22 clinicians

Practice addresses (Care Compare)

1301 W 6TH Ave
Stillwater, OK 74074-4381

1323 NW 6TH Ave
Stillwater, OK 74074-4306
Phone (405) 372-1480

1323 W 6TH Ave
Kansas City, MO 74074-4306

1400 W 4TH St
Coffeyville, KS 67337-3306
Phone 62025112001147

417 Fairview Ave
Ponca City, OK 74601-1923
Phone (580) 762-3770

Hospital & facility affiliations

  • Stillwater Medical Center Hospital, Stillwater, OK, CCN 370049
  • Coffeyville Regional Medical Center, Inc Hospital, Coffeyville, KS, CCN 171387
  • Stillwater Medical-Blackwell Hospital, Blackwell, OK, CCN 370780
  • Integris Health Ponca City Hospital, Ponca City, OK, CCN 370006
  • Stillwater Medical - Perry Hospital, Perry, OK, CCN 370779

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
77.82 of 100Reported as group
Quality
69.28
Promoting interoperability
100
Improvement activities
40
Cost
56.78

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-24516KSMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Stillwater Medical Center Authority CurrentSince Feb 11, 2013 Accepting new patients
Coffeyville Regional Medical Center, Inc. CurrentSince Jun 19, 2012 Accepting new patients
Stillwater Medical Center Authority CurrentSince Feb 11, 2013 Accepting new patients
Coffeyville Regional Medical Center Inc CurrentSince Jun 19, 2012 Accepting new patients
St Josephs Cancer Center of Northern PastSince Feb 12, 2007 Accepting new patients
Stillwater Medical Center Physicians Past Accepting new patients
Stillwater Medical Center Authority Past Accepting new patients

Locations

1400 W 4th St
Coffeyville, KS 67337
Phone (620) 251-1200

417 Fairview Ave
Ponca City, OK 74601
Phone (580) 762-3770

1201 W 6th Ave
Stillwater, OK 74074
Phone (405) 372-1775

Interoperability endpoints

  • Direct secure messaging: akinola.ogundipe.p1@direct.smc.nextgenshare.com
  • Direct secure messaging: akinolao@direct.crmcinc.org

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 5

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431648000000",
    "number": "1760433908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 VIRGINIA AVE",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746012911",
            "telephone_number": "580-767-1300",
            "fax_number": "580-765-4529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 VIRGINIA AVE",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746012911",
            "telephone_number": "580-767-1300",
            "fax_number": "580-765-4529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGUNDIPE",
        "first_name": "AKINOLA",
        "middle_name": "O",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2015-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KS",
            "license": "04-24516",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "OK",
            "license": "18134",
            "primary": true
        },
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "OK",
            "license": "18134",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "KS",
            "license": "04-24516",
            "primary": false
        },
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "KS",
            "license": "04-24516",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "OK",
            "license": "18134",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponca City, OK

Sources for this page

Verify at the official NPI Registry.