Individual provider Active NPI

Olalekan Peter Olufemi, M.D.

  • Internal Medicine Physician
  • Clearwater, FL
National Provider Identifier
1851340517
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C1-0024932 Issued in DE
Practice address
1700 N McMullen Booth Rd
Suite D-1
Clearwater, FL 33759-2130
Phone
(727) 669-3800
Fax
(727) 669-5600
NPI assigned
May 9, 2006
Last updated
May 23, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME90831 FL
Internal Medicine Physician 207R00000X C1-0024932 DE Primary

Addresses

Primary practice location

1700 N McMullen Booth Rd
Suite D-1
Clearwater, FL 33759-2130

Mailing address

1067 Paseo del Rio NE
St Petersburg, FL 33702-1469
Phone (727) 563-0882

Other practice location 1

4755 Ogletown Stanton Rd Ste 5A43
Newark, DE 19718-2130
Phone (302) 623-0188

Other identifiers 2

IdentifierTypeStateIssuer
2717905-00MedicaidFL
50012OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MD, DE3 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
I20050118000202 FL Practitioner - Internal Medicine 5496704413 Reassigns benefits to 3 organizations
I20081017000059 MD Practitioner - Internal Medicine 5496704413 Reassigns benefits to 1 organization
I20220531001399 DE Practitioner - Internal MedicinePractitioner - Hospitalist 5496704413 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Hospitalists of PinellaGroup PAC ID 0648267609, 24 clinicians
Christiana Care Health Services IncGroup PAC ID 9739097569, 1,480 clinicians

Practice addresses (Care Compare)

1173 Turner St
Clearwater, FL 33756-4135
Phone 7272988496210

4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Phone (302) 623-0188

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Union Hospital of Cecil County Internal Medicine CurrentSince Apr 1, 2022 Accepting new patients
Community Hospitalists of Pinella CurrentSince Aug 1, 2022 Accepting new patients
Christiana Care Health Services Inc Internal Medicine CurrentSince May 23, 2022 Accepting new patients
24 On Physicians, PC CurrentSince May 1, 2006 Accepting new patients
Advanced Care Hospitalists PL CurrentSince Aug 15, 2022 Accepting new patients
Elias Kanaan MD PA Internal Medicine CurrentSince Aug 1, 2022 Accepting new patients
24 On Physicians, P.C. CurrentSince May 1, 2006 Accepting new patients
Christiana Care Health Services Inc CurrentSince May 23, 2022 Accepting new patients
Manish Sharma DO PLLC Past Accepting new patients
Your Care Clinics LLC Internal Medicine Past Accepting new patients
Inpatient Consultants of Florida, Inc Internal Medicine Past Accepting new patients
Inpatient Consultants of Florida, Inc Internal Medicine Past Accepting new patients
Hospitalist Medicine Physicians of Maryland PC Internal Medicine Past Accepting new patients

Locations

4755 Ogletown Stanton Rd
Ste 5A43
Newark, DE 19718
Phone (302) 623-0188

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

1173 Turner St
Clearwater, FL 33756
Phone (727) 298-8496

300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552

4315 Highland Park Blvd
Ste A
Lakeland, FL 33813
Phone (813) 651-1085

4315 Highland Park Blvd
Ste D
Lakeland, FL 33813
Phone (863) 816-5884

106 Bow St
Elkton, MD 21921
Phone (410) 298-2000

3001 Hospital Dr
Hyattsville, MD 20785
Phone (301) 618-2000

Interoperability endpoints

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

Organizations & group practices 13

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.

View all 13

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": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1851340517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1067 PASEO DEL RIO NE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337021469",
            "telephone_number": "727-563-0882",
            "fax_number": "727-577-8161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 N MCMULLEN BOOTH RD",
            "address_2": "SUITE D-1",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337592130",
            "telephone_number": "727-669-3800",
            "fax_number": "727-669-5600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4755 Ogletown Stanton Rd Ste 5A43",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197182130",
            "country_code": "US",
            "telephone_number": "302-623-0188",
            "fax_number": "302-733-5640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLUFEMI",
        "first_name": "OLALEKAN",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME90831",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "C1-0024932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2717905-00",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "50012",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.