Individual provider Active NPI

Tomi Omolara Ola-Peters, MD

  • Internal Medicine Physician
  • Mansfield, TX
National Provider Identifier
1760737142
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
Q3257 Issued in TX
Practice address
2700 E Broad St
Mansfield, TX 76063-5899
Phone
(817) 702-1100
NPI assigned
Jul 20, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 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 BP10044204 TX
Internal Medicine Physician 207R00000X Q3257 TX Primary

Addresses

Primary practice location

2700 E Broad St
Mansfield, TX 76063-5899

Mailing address

752 N Main St Unit 1797
Mansfield, TX 76063-3399
Phone (682) 283-7381

Other identifiers 3

IdentifierTypeStateIssuer
8FM194OtherTXBCBS
345477902MedicaidTX
P01599389OtherTXRAILROAD MEDICARE

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
I20150309001138 TX Practitioner - Internal Medicine 7517283609 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

304 N Mitchell Rd
Mansfield, TX 76063-3449
Phone (682) 422-9950

Hospital & facility affiliations

  • DFW Home Health Arlington Home health agency, Arlington, TX, CCN 457818
  • Methodist Mansfield Medical Center Hospital, Mansfield, TX, CCN 670023

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10044204TXMDInternal Medicine Physician
Q3257TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Acclaim Physician Group, Inc Internal Medicine CurrentSince May 1, 2016 Accepting new patients
Lonestar Hospital Medicine Associates, PA Internal Medicine CurrentSince Sep 1, 2016 Accepting new patients
Divinetouch Medical Center LLC Internal Medicine CurrentSince Mar 25, 2022 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Jul 1, 2015 Accepting new patients

Locations

1050 W Arkansas Ln
Ste 150
Arlington, TX 76013
Phone (817) 702-3567

3500 W Wheatland Rd
Dallas, TX 75237
Phone (214) 947-5950

1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

855 Montgomery St
Ft Worth, TX 76107
Phone (817) 735-2334

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

752 N Main St
Unit 1797
Mansfield, TX 76063

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

304 N Mitchell Rd
Mansfield, TX 76063
Phone (682) 422-9950

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

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 2

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": "1342742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1760737142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "752 N MAIN ST UNIT 1797",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633399",
            "telephone_number": "682-283-7381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 E BROAD ST",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635899",
            "telephone_number": "817-702-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLA-PETERS",
        "first_name": "TOMI",
        "middle_name": "OMOLARA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-20",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP10044204",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "Q3257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8FM194",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "345477902",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01599389",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

Verify at the official NPI Registry.