Active NPI
Jide Oluwadare, MD, PHD
- Emergency Medicine Physician
- Houston, TX
National Provider Identifier
1891480539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- V5585
- Practice address
- 1504 Taub Loop
Houston, TX 77030-1608 - Phone
- (713) 873-2626
- NPI assigned
- Apr 10, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | V5585 | TX | Primary |
Addresses
Primary practice location
1504 Taub Loop
Houston, TX 77030-1608
Mailing address
6118 Morning Fern LN
Humble, TX 77338-2179
Phone (770) 634-3758
Other practice location 1
6621 Fannin St
Houston, TX 77030-2399
Phone (183) 282-4100
Other practice location 2
6720 Bertner Ave
Houston, TX 77030-2604
Phone (713) 798-1000
Other names 1
- Babajide K Oluwadare
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786492800000",
"number": "1891480539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6118 MORNING FERN LN",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773382179",
"telephone_number": "770-634-3758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1504 TAUB LOOP",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770301608",
"telephone_number": "713-873-2626"
}
],
"practiceLocations": [
{
"address_1": "6621 Fannin St",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770302399",
"country_code": "US",
"telephone_number": "183-282-4100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6720 Bertner Ave",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770302604",
"country_code": "US",
"telephone_number": "713-798-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OLUWADARE",
"first_name": "JIDE",
"credential": "MD, PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-10",
"last_updated": "2026-08-12",
"certification_date": "2026-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "V5585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BABAJIDE",
"last_name": "OLUWADARE",
"middle_name": "K",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.