Individual provider Active NPI

Ezekiel Onigbinde, M.D

  • Family Medicine Physician
  • Monroe, LA
National Provider Identifier
1861879926
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
311060 Issued in LA
Practice address
309 Jackson St
Monroe, LA 71201-7407
Phone
(318) 966-4541
Fax
(318) 966-4543
NPI assigned
Apr 28, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 31483 OK
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 311060 LA Primary

Addresses

Primary practice location

309 Jackson St
Monroe, LA 71201-7407

Mailing address

16207 E 48TH St
Tulsa, OK 74134-7291
Phone (248) 495-5278

Other practice location 1

1111 S Saint Louis Ave
Tulsa, OK 74120-5440
Phone (918) 619-4600

Other practice location 2

1334 N Lansing Ave
Tulsa, OK 74106
Phone (918) 587-2171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20211129001623 OK Practitioner - Family Practice 2668726415 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
311060LAMDFamily Medicine Physician
31483OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Morton Comprehensive Health Services, Inc Family Medicine CurrentSince Dec 6, 2021 Accepting new patients
Morton Comprehensive Health Services, Inc Family Medicine CurrentSince Dec 6, 2021 Accepting new patients
St Francis Medical Center, Inc Past Accepting new patients

Locations

1334 N Lansing Ave
Tulsa, OK 74106

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1430179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1861879926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16207 E 48TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741347291",
            "telephone_number": "248-495-5278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 JACKSON ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712017407",
            "telephone_number": "318-966-4541",
            "fax_number": "318-966-4543"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 S Saint Louis Ave",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741205440",
            "country_code": "US",
            "telephone_number": "918-619-4600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1334 N Lansing Ave",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "74106",
            "country_code": "US",
            "telephone_number": "918-587-2171",
            "fax_number": "918-587-4534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ONIGBINDE",
        "first_name": "EZEKIEL",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-28",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "31483",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "311060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.