Olubunmi Ogundadegbe

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

P1481 Issued in TX

Practice address

18980 N Memorial Dr
Ste 240
Humble, TX 77338-4216

Phone

(713) 904-3455

Fax

(713) 800-5711

NPI assigned

Aug 30, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal MedicineAlso: Pediatric Medicine

Education

Tufts University School of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Hermann Northeast Hospital Hospital, Humble, TX, CCN 450684

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CHHGBD/Endpoint/CHHGBD
• Direct secure messaging: oogundadegbe51511@memorialhermann.direct-ci.com
• FHIR API: https://epicproxy.et1326.epichosted.com/FHIRProxy/MHCC/api/FHIR/R4

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.

• Texas Family Clinic LLC

  • Internal Medicine Physician
  • Humble, TX
  • NPI 1437613742
  Medicare reassignment NPD Authorized official
• Memorial Hermann Medical Group

  • Family Medicine Physician
  • Fulshear, TX
  • NPI 1003985102

  Internal Medicine

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Memorial Hermann Health System

  dba Memorial Hermann Northeast

  • General Acute Care Hospital
  • Humble, TX
  • NPI 1295843787
  Care Compare affiliation

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

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1821347279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18980 N MEMORIAL DR STE 240",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384216",
            "telephone_number": "713-904-3455",
            "fax_number": "281-446-0997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18980 N MEMORIAL DR",
            "address_2": "STE 240",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384216",
            "telephone_number": "713-904-3455",
            "fax_number": "713-800-5711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGUNDADEGBE",
        "first_name": "OLUBUNMI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-30",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P1481",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "P1481",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Nnamdi Ogbodu, BRANDON
• Chisom Ogbonnaya
• Marsha Oge
• Christopher Oguayo, M.D.
• Kevin Nnaemeka Oguayo, M.D.
• David Ojala
• Ok Neurosurgery, PLLC
• Osita Stephen Okafor Jr., PHARMD, BCPS
• Regina C Okafor, LCSW
• Fadeke Toyin Okelola, PA-C

• Internal Medicine Physician in Humble, TX
• Providers in Humble, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.
• 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.