Anthony Oyetola, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2090135518 Issued in IL

Practice address

16 E 117TH PL
Chicago, IL 60628-5543

Phone

(773) 716-8766

NPI assigned

Nov 13, 2015

Sex

Male

Sole proprietor

Yes

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 IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New Rose Healthcare Management LLC 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Roseland Community Hospital Hospital, Chicago, IL, CCN 140068

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• New Rose Healthcare Management LLC

  • Emergency Medicine Physician
  • Chicago, IL
  • NPI 1043816515

  IL

  Medicare reassignment Care Compare group NPD
• Access Community Health Network

  • Federally Qualified Health Center (FQHC)
  • Des Plaines, IL
  • NPI 1982783692

  IL

  Medicare reassignment NPD
• Rajiv Kandala M D S C

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1114094281

  IL

  Medicare reassignment NPD
• Southside Primary Care Group SC

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1417403072

  IL

  Medicare reassignment NPD
• Apex Hospice and Palliative Care, Inc.

  • Community Based Hospice Care Agency
  • Westmont, IL
  • NPI 1356620090

  IL

  Medicare reassignment
• Access Community Health Network

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1104139559
  NPD
• Access Community Health Network

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1699701383
  NPD
• Emergency Medical Specialists, II, S.C.

  • Emergency Medicine Physician
  • Chicago, IL
  • NPI 1689004863
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Roseland Community Hospital Association

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1568472819

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1447372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447372800000",
    "number": "1922472968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 EAST 17TH PLACE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60628",
            "telephone_number": "773-716-8766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 E 117TH PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606285543",
            "telephone_number": "773-716-8766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OYETOLA",
        "first_name": "ANTHONY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-13",
        "last_updated": "2015-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "2090135518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alaba Adekunle Oyeniyi
• Ashley Elizabeth Oyer
• David Smith Oyer, M.D.
• Imuentiyan Faith Oyesiku
• Omolabake Oyetayo
• Susan T Oyetunde, M.D.
• Julie Oyler
• Sonia Oyola, M.D.
• Daniel Eduardo Oyon, MD
• Anne Atieno Oyugi, CRNA

• All providers in Chicago, IL
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2015; 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.