Individual provider Active NPI

Olayemi Chukwuogo, MD

  • Family Medicine Physician
  • Burleson, TX
National Provider Identifier
1902176779
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
Q0618 Issued in TX
Practice address
12001 South Fwy Ste 209
Burleson, TX 76028-7214
Phone
(817) 806-1143
Fax
(817) 806-1144
NPI assigned
Jan 10, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Q0618 TX Primary

Addresses

Primary practice location

12001 South Fwy Ste 209
Burleson, TX 76028-7214

Mailing address

12001 South Fwy Ste 209
Burleson, TX 76028-7214
Phone (817) 806-1143

Other names 1

  • Olayemi Odutayo Former name

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141008001983 TX Practitioner - Family Practice 4880814144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Huguley Medical Associates, IncGroup PAC ID 2668562471, 50 clinicians

Practice addresses (Care Compare)

12001 S Fwy
Suite 209
Burleson, TX 76028-7214
Phone (817) 806-1143

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Huguley Medical Associates CurrentSince Jan 9, 2023 Accepting new patients

Locations

11807 South Fwy
Ste 363
Burleson, TX 76028
Phone (817) 806-1143

11801 South Fwy
Burleson, TX 76028
Phone (817) 551-2738

12001 South Fwy
Ste 209
Burleson, TX 76028
Phone (682) 385-7010

11797 South Fwy
Ste 242
Burleson, TX 76028
Phone (817) 568-1981

Interoperability endpoints

  • Direct secure messaging: ochukwuogo@madisonhltpt.direct.st-joseph.md
  • Direct secure messaging: ochukwuogo1228196@adventhealth.direct-ci.com

Organizations & group practices 1

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 4

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": "1326153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1902176779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12001 SOUTH FWY STE 209",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760287214",
            "telephone_number": "817-806-1143",
            "fax_number": "817-806-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12001 SOUTH FWY STE 209",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760287214",
            "telephone_number": "817-806-1143",
            "fax_number": "817-806-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUKWUOGO",
        "first_name": "OLAYEMI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-10",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q0618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLAYEMI",
            "last_name": "ODUTAYO",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Burleson, TX

Sources for this page

Verify at the official NPI Registry.