Active NPI
Olabode C. Ogunwole, M.D.
- Anesthesiology Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- P9672
- Practice address
- 4502 Medical Dr
San Antonio, TX 78229-4402 - Phone
- (210) 567-4506
- NPI assigned
- Jul 13, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | D90619 | MD | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Anesthesiology Physician | 207L00000X | P9672 | TX | Primary |
Addresses
Primary practice location
4502 Medical Dr
San Antonio, TX 78229-4402
Mailing address
45 NE Loop 410
Ste 900
San Antonio, TX 78216-5831
Phone (210) 375-7790
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11116 Medical Campus Rd
Hagerstown, MD 21742-6710
Phone (301) 790-9044
400 W 7TH St
Frederick, MD 21701-4506
Phone (240) 566-3300
70 Sherry LN
Suite 101
Prince Frederick, MD 20678-3276
Phone (410) 889-2040
8600 Old Georgetown Rd
Bethesda, MD 20814-1422
Phone (301) 896-3931
Hospital & facility affiliations
- Adventist Healthcare White Oak Medical Center
- Frederick Health Hospital
- Holy Cross Hospital
- Adventist Healthcare Shady Grove Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 63.85 of 100
- Quality
- 57.47
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D90619 | MD | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northrium Health LLC | Anesthesiology | Current | Accepting new patients |
| Meritus Medical Center Inc | Current | Accepting new patients | |
| Meritus Medical Center Inc | Current | Accepting new patients | |
| Tejas Anesthesia PLLC | Anesthesiology | Current | Accepting new patients |
| Anesthesia Company, LLC | Anesthesiology | Current | Accepting new patients |
| Tejas Anesthesia PLLC | Anesthesiology | Current | Accepting new patients |
| First Colonies Anesthesia Associates, LLC | Anesthesiology | Current | Accepting new patients |
| Meritus Medical Center Inc | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
851 Trafalgar Ct
Ste 200E
Maitland, FL 32751
Phone (321) 422-7155
2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601
8600 Old Georgetown Rd
Bethesda, MD 20814
Phone (301) 896-2578
8222 Schultz Rd
Clinton, MD 20735
Phone (202) 600-5683
400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300
11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600
70 Sherry Ln
Ste 101
Prnc Frederck, MD 20678
Phone (410) 889-2040
11210 Old Georgetown Rd
#12202
Rockville, MD 20852
Phone (301) 881-7770
11210 Old Georgetown Rd
Rockville, MD 20852
Phone (301) 881-7770
8322 Bellona Ave
Ste 201
Towson, MD 21204
Phone (410) 337-2688
2240 Gulf Fwy S
League City, TX 77573
Phone (832) 505-1000
4242 Medical Dr
Ste 3100
San Antonio, TX 78229
Phone (210) 477-9555
4242 Medical Dr
Ste 1260
San Antonio, TX 78229
Phone (210) 477-9551
4502 Medical Dr
San Antonio, TX 78229
Phone (210) 358-3555
Interoperability endpoints
- oogunwole880575@direct.umm.edu
Organizations & group practices 9
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.
-
- Anesthesiology Physician
- Annapolis, MD
- NPI 1871548156
-
- Nurse Practitioner
- Hagerstown, MD
- NPI 1205176393
-
- Anesthesiology Physician
- League City, TX
- NPI 1659383305
-
- Anesthesiology Physician
- San Antonio, TX
- NPI 1659027910
-
- Diagnostic Radiology Physician
- Hagerstown, MD
- NPI 1184477911
-
- Emergency Medicine Physician
- Hagerstown, MD
- NPI 1396980405
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Silver Spring, MD
- NPI 1487650024
-
- General Acute Care Hospital
- Rockville, MD
- NPI 1568468221
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- General Acute Care Hospital
- Silver Spring, MD
- NPI 1669417838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615766400000",
"number": "1871858092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 NE LOOP 410",
"address_2": "STE 900",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782165831",
"telephone_number": "210-375-7790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4502 MEDICAL DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782294402",
"telephone_number": "210-567-4506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OGUNWOLE",
"first_name": "OLABODE",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-13",
"last_updated": "2021-03-15",
"certification_date": "2021-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MD",
"license": "D90619",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "P9672",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; 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.