Individual provider Active NPI

Babajide Adeniyi Ogunlana, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Missouri City, TX
National Provider Identifier
1891793071
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1699 Issued in TX
Practice address
4502 Riverstone Blvd
Ste 1403
Missouri City, TX 77459-5206
Phone
(281) 778-5560
Fax
(281) 677-4145
NPI assigned
Jul 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 1699 TX
Radiology Podiatrist 213ER0200X 1699 TX
Sports Medicine Podiatrist 213ES0000X 1699 TX
Foot Surgery Podiatrist 213ES0131X 1699 TX
Foot & Ankle Surgery Podiatrist 213ES0103X 1699 TX Primary

Addresses

Primary practice location

4502 Riverstone Blvd
Ste 1403
Missouri City, TX 77459-5206

Mailing address

4502 Riverstone Blvd Ste 1403
Missouri City, TX 77459-5206
Phone (281) 778-5560

Other identifiers 1

IdentifierTypeStateIssuer
0074MEOtherTXBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040728001089 TX Practitioner - Podiatry 6406826304 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4502 Riverstone Blvd
Suite 1403
Missouri City, TX 77459-5206
Phone (281) 778-5560

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue103
Removal of skin lesions1-10
Removal of nail tissue18
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1699TXMDRadiology Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associate of Texas Corporation CurrentSince Mar 1, 2016 Accepting new patients
Babajide Ogunlana, DPM, PLLC Podiatrist CurrentSince Apr 1, 2005 Accepting new patients

Locations

1500 S Dairy Ashford Rd
Ste 125
Houston, TX 77077
Phone (281) 558-9090

7737 Southwest Fwy
Ste 620
Houston, TX 77074
Phone (281) 778-5560

4502 Riverstone Blvd
Ste 1403
Missouri City, TX 77459
Phone (281) 778-5560

Interoperability endpoints

  • Direct secure messaging: bogunlana51524@memorialhermann.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/13395/brand/1/csg/1/fhir/r4
  • Direct secure messaging: babajide.ogunlana@dbaod-tx.direct.office.nextgen.com

Organizations & group practices 2

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 6

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": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1891793071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4502 RIVERSTONE BLVD STE 1403",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774595206",
            "telephone_number": "281-778-5560",
            "fax_number": "281-677-4145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 RIVERSTONE BLVD",
            "address_2": "STE 1403",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774595206",
            "telephone_number": "281-778-5560",
            "fax_number": "281-677-4145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGUNLANA",
        "first_name": "BABAJIDE",
        "middle_name": "ADENIYI",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1699",
            "primary": false
        },
        {
            "code": "213ER0200X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Radiology",
            "state": "TX",
            "license": "1699",
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "TX",
            "license": "1699",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "TX",
            "license": "1699",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0074ME",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Missouri City, TX

Sources for this page

Verify at the official NPI Registry.