NPIMap

Individual provider Active NPI

Olakitan Tomi Akinjagunla, MD

  • Internal Medicine Physician
  • Texarkana, AR
National Provider Identifier
1881608727
Registry record updated May 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L2084 Issued in TX
Practice address
1000 Pine Street
Texarkana, AR 75501
Phone
(903) 798-8887
NPI assigned
Jul 28, 2006
Last updated
May 12, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X L2084 TX
Emergency Medicine Physician 207P00000X 0101055006 VA
Internal Medicine Physician 207R00000X L2084 TX Primary

Addresses

Primary practice location

1000 Pine Street
Texarkana, AR 75501

Mailing address

11506 Brigit CT
Bowie, MD 20720-4417
Phone (301) 793-4776

Other identifiers 3

IdentifierTypeStateIssuer
1881608727MedicaidVA
3810012611MedicaidWV
148976711MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Howard University Emergency Medicine Past Accepting new patients
MNR Industries LLC Past Accepting new patients
Cherokee Emergency Medicine Associates PA Emergency Medicine Past Accepting new patients
Chamizal Emergency Physicians PLLC Emergency Medicine Past Accepting new patients
Patriot Emergency Physicians PLLC Emergency Medicine Past Accepting new patients
United Emergency Services, Inc. Emergency Medicine Past Accepting new patients
Radiology Associates of New Hartford LLP Past Accepting new patients
National Emergency Services District of Columbia Inc Emergency Medicine Past Accepting new patients
Roundhouse Emergency Physicians LLC Emergency Medicine PastSince Sep 15, 2019 Accepting new patients
Bay Street Orthopaedics PLLC Past Accepting new patients

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305158400000",
    "number": "1881608727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11506 BRIGIT CT",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207204417",
            "telephone_number": "301-793-4776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 PINE STREET",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "75501",
            "telephone_number": "903-798-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKINJAGUNLA",
        "first_name": "OLAKITAN",
        "middle_name": "TOMI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2011-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "L2084",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101055006",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L2084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881608727",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810012611",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148976711",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.