Olabisi Aduke Kuti, M.D
Individual provider Active NPI Family Medicine Physician · Bellmead, TX
NPI 1922326644 · NPPES record last updated Feb 4, 2022
Key facts
- NPI
- 1922326644
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- P6012 (TX)
- Practice address
- 556 North Loop
Bellmead, TX 76705 - Phone
- (254) 412-5700
- NPI assigned
- May 5, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 18
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
Practice addresses (Care Compare)
10810 Connecticut Ave
Kensington, MD 20895-2138
Phone (301) 929-7100
1221 Mercantile LN
Largo, MD 20774-5374
Phone (301) 618-5700
4920 Campbell Blvd
Nottingham, MD 21236-5916
Phone (410) 933-7600
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in DC, MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140722000948 | DC | Practitioner - Family Practice | 4385888908 | Reassigns benefits to 1 organization |
| I20210616000456 | MD | Practitioner - Family Practice | 4385888908 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P6012 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current |
Accepting new patients | |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Family Medicine | Current |
Accepting new patients |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current |
Accepting new patients |
Locations
7070 Samuel Morse Dr
Columbia, MD 21046
Phone (410) 309-4600
10810 Connecticut Ave
Kensington, MD 20895
Phone (301) 929-7100
4920 Campbell Blvd
Nottingham, MD 21236
Phone (410) 933-7600
2101 E Jefferson St
#4
Rockville, MD 20852
2101 E Jefferson St
#4E
Rockville, MD 20852
2101 E Jefferson St
Ste 6WPPQA
Rockville, MD 20852
Phone (301) 816-5853
1221 Mercantile Ln
Upper Marlboro, MD 20774
Phone (301) 618-5500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | P6012 | TX | Yes |
Addresses
Primary practice location
556 North Loop
Bellmead, TX 76705
Mailing address
PO Box 847408
Dallas, TX 75284-7408
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) |
Other providers in Bellmead, TX
- Jonathan Huo
- James T Shoptaw DDS
- Christopher F Johnson
- Paul Joseph Kitchens
- Sandra Kitson
- Kyle Sanders DDS
- Pak Wing Jacky Lam
- Joy D'Anna Macaluso
- Keyvan Namazi Matteo
- Leng Ngang
All providers in Bellmead, TX · Family Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.