Individual provider Active NPI

Samuel Oluwasye Olaleye, MD

  • Internal Medicine Physician
  • Newton, MS
National Provider Identifier
1821006644
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
19437 Issued in MS
Practice address
191 Northside Dr
Newton, MS 39345-9523
Phone
(601) 357-5118
Fax
(601) 683-7055
NPI assigned
Aug 4, 2006
Last updated
Oct 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 19437 MS Primary

Addresses

Primary practice location

191 Northside Dr
Newton, MS 39345-9523

Mailing address

193 Northside Dr
Newton, MS 39345-9523
Phone (601) 357-5118

Other practice location 1

1727 6th St
Meridian, MS 39301-5249
Phone (601) 357-5118

Other identifiers 1

IdentifierTypeStateIssuer
19437OtherMSSTATE OF MS BOARD OF MED

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20060825000477 MS Practitioner - Family PracticePractitioner - Internal Medicine 1153325568 Practice locations: Newton, MS

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9421 Eastside Dr Ext
Newton, MS 39345-8063
Phone (601) 683-3001

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19437MSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newton Hospital, Inc Past Accepting new patients
Pioneer Health Services, Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1821006644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 NORTHSIDE DR",
            "city": "NEWTON",
            "state": "MS",
            "postal_code": "393459523",
            "telephone_number": "601-357-5118",
            "fax_number": "601-683-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 NORTHSIDE DR",
            "city": "NEWTON",
            "state": "MS",
            "postal_code": "393459523",
            "telephone_number": "601-357-5118",
            "fax_number": "601-683-7055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1727 6th St",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "MS",
            "postal_code": "393015249",
            "country_code": "US",
            "telephone_number": "601-357-5118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLALEYE",
        "first_name": "SAMUEL",
        "middle_name": "OLUWASYE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "19437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MS BOARD OF MED",
            "identifier": "19437",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MS

Sources for this page

Verify at the official NPI Registry.