NPIMap

Individual provider Active NPI

Olufemi A Lawal, M.D

  • Critical Care Medicine (Internal Medicine) Physician
  • Wichita Falls, TX
National Provider Identifier
1891056099
Registry record updated Jul 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
R3899 Issued in TX
Practice address
1600 11TH St
Wichita Falls, TX 76301
Phone
(940) 322-4480
Fax
(940) 322-8420
NPI assigned
Jun 4, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 61 004029 NY
Pulmonary Disease Physician 207RP1001X 8784 SD
Critical Care Medicine (Internal Medicine) Physician 207RC0200X R3899 TX Primary

Addresses

Primary practice location

1600 11TH St
Wichita Falls, TX 76301

Mailing address

1208 Brook Ave
Wichita Falls, TX 76301-5602
Phone (800) 655-2656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180420000617 TX Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 3870806607 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Pulmonary Disease
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pulmonary Services of North Texas PLLCGroup PAC ID 7416279526, 8 clinicians
Critical Care Specialists of North Texas PLLCGroup PAC ID 4880827104, 12 clinicians

Practice addresses (Care Compare)

1208 Brook Ave
Wichita Falls, TX 76301-5602
Phone (940) 322-4480

1600 11TH St
Wichita Falls, TX 76301-4300
Phone (940) 764-7000

Hospital & facility affiliations

  • United Regional Health Care System Hospital, Wichita Falls, TX, CCN 450010
  • Electra Memorial Hospital Hospital, Electra, TX, CCN 451343
  • Wilbarger General Hospital Hospital, Vernon, TX, CCN 450584
  • Seymour Hospital Hospital, Seymour, TX, CCN 451399
  • Kell West Regional Hospital Hospital, Wichita Falls, TX, CCN 450827

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
61 004029NYMDInternal Medicine Physician
R3899TXMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Regional Health Care System Inc Current Accepting new patients
Critical Care Specialists of North Texas, PLLC Critical Care Medicine CurrentSince May 1, 2018 Accepting new patients
Pulmonary Services of North Texas PLLC Critical Care Medicine CurrentSince Jul 1, 2018 Accepting new patients

Locations

1600 11th St
Wichita Falls, TX 76301
Phone (940) 263-3000

1208 Brook Ave
Wichita Falls, TX 76301
Phone (940) 322-4480

Interoperability endpoints

  • Direct secure messaging: olawal14132@unitedregional.medalliesdirect.net
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

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.

Hospital & facility affiliations 7

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": "1338768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532044800000",
    "number": "1891056099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 BROOK AVE",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763015602",
            "telephone_number": "800-655-2656",
            "fax_number": "412-822-7411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 11TH ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "76301",
            "telephone_number": "940-322-4480",
            "fax_number": "940-322-8420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWAL",
        "first_name": "OLUFEMI",
        "middle_name": "A",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-04",
        "last_updated": "2018-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "61 004029",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "SD",
            "license": "8784",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": "R3899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

Verify at the official NPI Registry.