Opeoluwa Daniyan, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

S5351 Issued in TX

Practice address

2302 Lone Star Rd Ste 220
Mansfield, TX 76063-8752

Phone

(682) 341-7220

Fax

(682) 341-7222

NPI assigned

Apr 9, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Opeoluwa Fawole Former name

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

Specialty

Otolaryngology

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Group practices

Cross Timbers ENT, PLLCGroup PAC ID 9234291840, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Methodist Mansfield Medical Center Hospital, Mansfield, TX, CCN 670023
• Texas Health Arlington Memorial Hospital Hospital, Arlington, TX, CCN 450064

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: odaniyan@crosstent.emadirect.md

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.

• Cross Timbers ENT PLLC

  • Specialist
  • Arlington, TX
  • NPI 1073568127
  Medicare reassignment Care Compare group NPD

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

• Methodist Hospitals of Dallas

  • General Acute Care Hospital
  • Mansfield, TX
  • NPI 1689629941
  Care Compare affiliation
• Texas Health Arlington Memorial Hospital

  • General Acute Care Hospital
  • Arlington, TX
  • NPI 1174533343
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1770979395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6278",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761150278",
            "telephone_number": "817-806-1140",
            "fax_number": "817-806-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 LONE STAR RD STE 220",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760638752",
            "telephone_number": "682-341-7220",
            "fax_number": "682-341-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIYAN",
        "first_name": "OPEOLUWA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-09",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "S5351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "414484201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1D9463",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OPEOLUWA",
            "last_name": "FAWOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jared Dane
• Daniel & Max, LLC
• Dana Camille Daniel, MS, LSSP, BCBA
• Daniela Zambon DDS Ms PC
• Clive G Daniels, MD
• Wendy Jean Danner, LCSW CCM
• Maxine Danso, DDS
• Paul Walter Daum, M.D.
• Jessica Marie Davault, M.S. CCC-SLP
• Pramesh Chandrakant Dave, M.D.

• Otolaryngology Physician in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Otolaryngology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.