Individual provider Active NPI

Olatunde Ibiyemi Falaiye, MD

  • Emergency Medicine Physician
  • Odessa, TX
National Provider Identifier
1811550486
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
BP10085116 Issued in TX
Practice address
701 W 5TH St
Odessa, TX 79763-4206
Phone
(432) 640-4000
NPI assigned
Apr 18, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D0095011 MD
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 01094100A IN
Emergency Medicine Physician 207P00000X BP10085116 TX Primary

Addresses

Primary practice location

701 W 5TH St
Odessa, TX 79763-4206

Mailing address

506 Lenox Ave # Mlk11101
New York, NY 10037-1889
Phone (212) 939-2976

Other practice location 1

2041 Georgia Ave NW
Washington, DC 20060-1889
Phone (202) 865-6100

Other practice location 2

506 Lenox Ave # Mlk11101
New York, NY 10037-1889
Phone (212) 939-2976 ext. 1641

Other practice location 3

3357B Corridor Marketplace
Laurel, MD 20724-2381
Phone (301) 497-1820

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MDExchange@patientfirstclinics.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20240220004479 TX Practitioner - Family Practice 0840668646 Reassigns benefits to 1 organization
I20240712002265 IN Practitioner - Family PracticePractitioner - Emergency Medicine 0840668646 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Professionals of Indiana PCGroup PAC ID 4183604150, 118 clinicians
Concord Company of Tennessee PLLCGroup PAC ID 0345588109, 68 clinicians
Cep America LLCGroup PAC ID 6608056171, 995 clinicians

Practice addresses (Care Compare)

1101 Michigan Ave
Loganport, IN 46947-1528
Phone (574) 753-7541

1400 E 9TH St
Rochester, IN 46975-8931
Phone (888) 264-0330

1606 N 7TH St
Terre Haute, IN 47804-2706
Phone (812) 238-7523

Hospital & facility affiliations

  • Northwest Health - Starke Hospital, Knox, IN, CCN 150102
  • Memorial Hospital Hospital, Logansport, IN, CCN 150072
  • Terre Haute Regional Hospital Hospital, Terre Haute, IN, CCN 150046
  • Union Hospital Inc Hospital, Terre Haute, IN, CCN 150023
  • Woodlawn Hospital Hospital, Rochester, IN, CCN 151313

Merit-based Incentive Payment System (MIPS)

Final score
85.33 of 100Reported as group
Quality
74.13
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10085116TXMDEmergency Medicine Physician
D0095011MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Basin Emergency Physicians PLLC Emergency Medicine CurrentSince Feb 16, 2024 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Dec 5, 2024 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Dec 5, 2024 Accepting new patients
Emergency Medicine Services of in, LLC Emergency Medicine CurrentSince Jul 29, 2024 Accepting new patients
Emergency Professionals of Indiana, P.C. Emergency Medicine CurrentSince Aug 1, 2024 Accepting new patients
Concord Company of Tennessee PLLC Emergency Medicine CurrentSince Nov 2, 2025 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

2041 Georgia Ave NW
Washington, DC 20060
Phone (202) 865-3785

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

1101 Michigan Ave
Logansport, IN 46947
Phone (574) 753-1475

1400 E 9th St
Rochester, IN 46975
Phone (574) 223-2020

8885 State Road 237
Tell City, IN 47586
Phone (812) 547-0185

3901 S 7th St
Terre Haute, IN 47802
Phone (812) 232-0021

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

387 W Interstate 10
Fort Stockton, TX 79735
Phone (432) 336-2004

500 W 4th St
Odessa, TX 79761
Phone (432) 640-1000

Organizations & group practices 6

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 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": "1555545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1811550486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 LENOX AVE # MLK11101",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100371889",
            "telephone_number": "212-939-2976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W 5TH ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797634206",
            "telephone_number": "432-640-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2041 Georgia Ave NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200601889",
            "country_code": "US",
            "telephone_number": "202-865-6100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "506 Lenox Ave # Mlk11101",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100371889",
            "country_code": "US",
            "telephone_number": "212-939-2976 x1641",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3357B Corridor Marketplace",
            "address_purpose": "LOCATION",
            "city": "Laurel",
            "state": "MD",
            "postal_code": "207242381",
            "country_code": "US",
            "telephone_number": "301-497-1820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FALAIYE",
        "first_name": "OLATUNDE",
        "middle_name": "IBIYEMI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-18",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0095011",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01094100A",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "BP10085116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MDExchange@patientfirstclinics.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3357B Corridor Marketplace",
            "city": "Laurel",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207242381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

Verify at the official NPI Registry.