Organization Active NPI

Gastroenterology Practice Associates, PLLC

  • Gastroenterology Physician
  • Arlington, TX
National Provider Identifier
1821224825
Registry record updated Nov 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
M2238 Issued in TX
Legal business name
GASTROENTEROLOGY PRACTICE ASSOCIATES, PLLC
Practice address
301 Highlander Blvd.
Suite 121
Arlington, TX 76018-1164
Phone
(817) 468-7200
Fax
(817) 468-7201
NPI assigned
Jun 4, 2009
Last updated
Nov 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2015

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

Authorized official

Name
Dr. Olufemi Abiodun, MDNPI 1821199464
Title
Owner/Physician
Phone
(817) 468-7200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X M2238 TX Primary

Addresses

Primary practice location

301 Highlander Blvd.
Suite 121
Arlington, TX 76018-1164

Mailing address

301 Highlander Blvd.
Suite 121
Arlington, TX 76018-1164
Phone (817) 468-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091020000739 TX Part B Supplier - Clinic/Group Practice 0143367342 Receives reassigned benefits from 10 practitioners
Practice locations: Arlington, TX; Southlake, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2169722Gastroenterology Practice Associates301 Highlander Blvd Suite 121, Arlington, TX 76018ComplianceAug 26, 2026

National Provider Directory

National Provider Directory

Locations

301 Highlander Blvd
Ste 121
Arlington, TX 76018
Phone (817) 332-7600

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CFAHAA

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1244073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446595200000",
    "number": "1821224825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 HIGHLANDER BLVD.",
            "address_2": "SUITE 121",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760181164",
            "telephone_number": "817-468-7200",
            "fax_number": "817-468-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 HIGHLANDER BLVD.",
            "address_2": "SUITE 121",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760181164",
            "telephone_number": "817-468-7200",
            "fax_number": "817-468-7201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY PRACTICE ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-04",
        "last_updated": "2015-11-04",
        "status": "A",
        "authorized_official_last_name": "ABIODUN",
        "authorized_official_first_name": "OLUFEMI",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "817-468-7200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "M2238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.