Individual provider Active NPI

Olubukola Ojuola, M.D.

  • Pediatrics Physician
  • Lynchburg, VA
National Provider Identifier
1942477005
Registry record updated Jul 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0101244761 Issued in VA
Practice address
2321 Wards Road
Lynchburg, VA 24502-2101
Phone
(434) 582-2273
Fax
(434) 582-1363
NPI assigned
May 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0101244761 VA Primary

Addresses

Primary practice location

2321 Wards Road
Lynchburg, VA 24502-2101

Mailing address

2321 Wards Road
Lynchburg, VA 24502-2101
Phone (434) 582-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20090706000461 VA Practitioner - Pediatric Medicine 7113078064 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101244761VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Dec 15, 2016 Accepting new patients
Privia Medical Group, LLC Pediatrics CurrentSince Dec 15, 2016 Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients

Locations

2137 Lakeside Dr
Ste 100
Lynchburg, VA 24501
Phone (434) 385-4184

14005 Wards Rd
Lynchburg, VA 24501
Phone (434) 239-0132

2019 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 845-7035

2321 Wards Rd
Lynchburg, VA 24502
Phone (434) 582-2273

8644 Sudley Rd
#220
Manassas, VA 20110

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: olubukola.ojuola.1@8042.direct.athenahealth.com
  • Direct secure messaging: olubukolaojuola@coan.allscriptsdirect.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435708800000",
    "number": "1942477005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 WARDS ROAD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245022101",
            "telephone_number": "434-582-2273",
            "fax_number": "434-582-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 WARDS ROAD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245022101",
            "telephone_number": "434-582-2273",
            "fax_number": "434-582-1363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OJUOLA",
        "first_name": "OLUBUKOLA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-08",
        "last_updated": "2015-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101244761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

Verify at the official NPI Registry.