Active NPI
Oluwabunmi Mary Olayinka, MD
- Neurology Physician
- Austin, TX
National Provider Identifier
1801479357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- BP10088029
- Practice address
- 1501 Red River, 2ND Floor Dell Medical School at the U
Austin, TX 78712 - Phone
- (512) 495-5555
- NPI assigned
- May 3, 2021
- Reactivated
- May 23, 2024
- Last updated
- May 24, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | BP10088029 | TX | Primary |
| Physical Therapist | 225100000X | 1248236 | TX |
Addresses
Primary practice location
1501 Red River, 2ND Floor Dell Medical School at the U
Austin, TX 78712
Mailing address
1501 Red River, 2ND Floor Dell Medical School at the U
Austin, TX 78712
Phone (512) 495-5555
Other names 1
- Oluwabunmi Mary Omiyale
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240603004218 | TX | Order and Referring Only - Neurology | 1951710722 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10088029 | TX | MD | Neurology Physician |
| 1248236 | TX | MD | Physical Therapist |
Interoperability endpoints
- oluwabunmi.olayinka.1@8363.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716508800000",
"number": "1801479357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 RED RIVER, 2ND FLOOR DELL MEDICAL SCHOOL AT THE U",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78712",
"telephone_number": "512-495-5555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 RED RIVER, 2ND FLOOR DELL MEDICAL SCHOOL AT THE U",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78712",
"telephone_number": "512-495-5555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLAYINKA",
"first_name": "OLUWABUNMI",
"middle_name": "MARY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-03",
"last_updated": "2024-05-24",
"certification_date": "2024-05-23",
"deactivation_date": "2024-05-01",
"reactivation_date": "2024-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TX",
"license": "BP10088029",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1248236",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "OLUWABUNMI",
"last_name": "OMIYALE",
"middle_name": "MARY",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.