Individual provider Active NPI

Taiye Oluyomi Popoola, MD PHD

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Allen, TX
National Provider Identifier
1790277374
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X
License
U4312 Issued in TX
Practice address
450 Century Pkwy Ste 250
Allen, TX 75013-8136
Phone
(972) 521-6191
Fax
(972) 252-7580
NPI assigned
May 31, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X U4312 TX Primary
Psychiatry Physician 2084P0800X 2021036910 MO
Psychiatry Physician 2084P0800X U4312 TX

Addresses

Primary practice location

450 Century Pkwy Ste 250
Allen, TX 75013-8136

Mailing address

401 Century Pkwy Unit 2180
Allen, TX 75013-8043
Phone (972) 521-6191

Other practice location 1

9330 Lyndon B Johnson Fwy Ste 900
Dallas, TX 75243-3443
Phone (972) 521-6191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20211206000716 MO Practitioner - Psychiatry 4587919717 Reassigns benefits to 1 organization
I20230712002359 TX Practitioner - Psychiatry 4587919717 Reassigns benefits to 1 organization
I20230803003723 TX Practitioner - Sleep Medicine 4587919717 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sleep Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Zoe Integrated Care PLLCGroup PAC ID 3274919345, 2 clinicians

Practice addresses (Care Compare)

450 Century Pkwy
Allen, TX 75013-8136
Phone (972) 521-6191

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2021036910MOMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Zoe Integrated Care PLLC Psychiatry CurrentSince Jun 27, 2023 Accepting new patients
Compass Health, Inc CurrentSince Nov 29, 2021 Accepting new patients
Compass Health, Inc CurrentSince Nov 29, 2021 Accepting new patients
University of Missouri, Columbia Past Accepting new patients

Locations

1800 Community
Clinton, MO 64735
Phone (660) 885-8131

1800 Community
#B
Clinton, MO 64735

1450 E 10th St
Rolla, MO 65401
Phone (573) 364-7551

1032 Crosswinds Ct
Wentzville, MO 63385
Phone (636) 332-6000

401 Century Pkwy
#2180
Allen, TX 75013

401 Century Pkwy
Unit 2180
Allen, TX 75013

450 Century Pkwy
Ste 250
Allen, TX 75013
Phone (972) 516-4320

Interoperability endpoints

  • Direct secure messaging: tpopoola1263924@direct.sw.org
  • Direct secure messaging: tpopoola298229@direct.phhs.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1790277374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 CENTURY PKWY UNIT 2180",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750138043",
            "telephone_number": "972-521-6191",
            "fax_number": "972-252-7580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 CENTURY PKWY STE 250",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750138136",
            "telephone_number": "972-521-6191",
            "fax_number": "972-252-7580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9330 Lyndon B Johnson Fwy Ste 900",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752433443",
            "country_code": "US",
            "telephone_number": "972-521-6191",
            "fax_number": "972-252-7580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POPOOLA",
        "first_name": "TAIYE",
        "middle_name": "OLUYOMI",
        "credential": "MD PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-31",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "TX",
            "license": "U4312",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2021036910",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "U4312",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

Verify at the official NPI Registry.