Olufemi Ademola Ogundeji, M.D, MPH

Primary specialty

Addiction Psychiatry PhysicianTaxonomy code 2084P0802X

License

MD207354 Issued in LA

Practice address

1006 Highland Ave
Brentwood Hospital
Shreveport, LA 71101-4103

Phone

(318) 222-6226

Fax

(318) 222-6227

NPI assigned

May 20, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

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

Specialty

Psychiatry

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Brentwood Acquisition-Shreveport IncGroup PAC ID 1951379312, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Brentwood Acquisition-Shreveport Inc.

  dba Brentwood Hospital

  • Psychiatry Physician
  • Shreveport, LA
  • NPI 1164725701
  Medicare reassignment Care Compare group NPD
• Brentwood Acquisition-Shreveport Inc.

  dba Brentwood Hospital

  • Psychiatric Hospital
  • Shreveport, LA
  • NPI 1417979204

  Psychiatry

  NPD
• River Oaks Inc

  dba River Oaks Hospital

  • Psychiatric Hospital
  • New Orleans, LA
  • NPI 1851350862
  NPD (past)

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

{
    "created_epoch": "1274313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454284800000",
    "number": "1912226697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 HIGHLAND AVE",
            "address_2": "BRENTWOOD HOSPITAL",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014103",
            "telephone_number": "318-222-6226",
            "fax_number": "318-222-6227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 HIGHLAND AVE",
            "address_2": "BRENTWOOD HOSPITAL",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014103",
            "telephone_number": "318-222-6226",
            "fax_number": "318-222-6227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGUNDEJI",
        "first_name": "OLUFEMI",
        "middle_name": "ADEMOLA",
        "name_prefix": "Dr.",
        "credential": "M.D,  MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-20",
        "last_updated": "2016-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "LA",
            "license": "MD207354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenechi Ogbonna
• Marilyn Ogbuli
• La'Breyah Ogburn
• Anne Marie Ogden, DO
• Kristen Ogden, CCC-SLP
• Ola Bidex Ogundiya, PHARMD, RPH
• Chinedum Okafor
• Izel Okcu
• Chidera Okezie
• David Okuampa

• Addiction Psychiatry Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Addiction Psychiatry Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.