Individual provider Active NPI

Olubukunmi Oyebola, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Euless, TX
National Provider Identifier
1831352335
Registry record updated Oct 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
P9682 Issued in TX
Practice address
350 Westpark Way
Suite 201
Euless, TX 76040-3964
Phone
(817) 722-5040
NPI assigned
Jul 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X P9682 TX Primary

Addresses

Primary practice location

350 Westpark Way
Suite 201
Euless, TX 76040-3964

Mailing address

350 Westpark Way
Suite 201
Euless, TX 76040-3964
Phone (817) 722-5040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, VA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20210326002312 MD Practitioner - Anesthesiology 9739302522 Reassigns benefits to 2 organizations
I20220727001457 DC Practitioner - Anesthesiology 9739302522 Reassigns benefits to 2 organizations
I20240110004871 VA Practitioner - Anesthesiology 9739302522 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
State University of Ny Upstate Medical University, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inova Cares - CommunityGroup PAC ID 9537526330, 187 clinicians

Practice addresses (Care Compare)

3600 Joseph Siewick Dr
Fairfax, VA 22033-1709
Phone (703) 391-3600

44045 Rivderside Pkwy
Leesburg, VA 20176-5101
Phone (703) 858-6000

Hospital & facility affiliations

  • Inova Loudoun Hospital Hospital, Leesburg, VA, CCN 490043

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orthomed Staffing LLC CurrentSince Jan 22, 2020 Accepting new patients
Inova Cares - Community CurrentSince Nov 12, 2023 Accepting new patients
North American Partners in Anesthesia Maryland LLC CurrentSince Feb 24, 2021 Accepting new patients
Northstar Anesthesia of Maryland LLC CurrentSince Apr 1, 2024 Accepting new patients

Locations

6430 Rockledge Dr
Ste 160
Bethesda, MD 20817
Phone (301) 312-6144

5 Garrett Ave
La Plata, MD 20646
Phone (301) 609-4000

5 N La Plata Ct
Ste 201
La Plata, MD 20646
Phone (301) 609-4000

100 Hospital Rd
Prnc Frederck, MD 20678
Phone (410) 414-4791

5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107

8111 Meadow Rd
Dallas, TX 75231
Phone (214) 471-5975

2727 E Lemmon Ave
Dallas, TX 75204
Phone (214) 443-3000

5500 Frisco Square Blvd
Frisco, TX 75034
Phone (214) 618-0500

7211 Preston Rd
Ste 2100
Plano, TX 75024
Phone (469) 303-0104

3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

Organizations & group practices 4

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 2

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": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413331200000",
    "number": "1831352335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 WESTPARK WAY",
            "address_2": "SUITE 201",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760403964",
            "telephone_number": "817-722-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 WESTPARK WAY",
            "address_2": "SUITE 201",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760403964",
            "telephone_number": "817-722-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OYEBOLA",
        "first_name": "OLUBUKUNMI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-03",
        "last_updated": "2014-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "P9682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Euless, TX

Sources for this page

Verify at the official NPI Registry.