Individual provider Active NPI

Kunle Ojemakinde, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Leesville, LA
National Provider Identifier
1942527775
Registry record updated Jul 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
MD.206190 Issued in LA
Practice address
1112 Port Arthur Ter
Department of Pathology
Leesville, LA 71446-4656
Phone
(337) 238-9133
Fax
(337) 238-5311
NPI assigned
May 4, 2010
Last updated
Jul 6, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD.206190 LA Primary

Addresses

Primary practice location

1112 Port Arthur Ter
Department of Pathology
Leesville, LA 71446-4656

Mailing address

1112 Port Arthur Ter
Department of Pathology
Leesville, LA 71446-4656
Phone (337) 238-9133

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20151204000742 LA Practitioner - Pathology 2668772179 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Glen D. Hurlston, M.D., ApmcGroup PAC ID 3779557541, 26 clinicians

Practice addresses (Care Compare)

1020 Fertitta Blvd
Leesville, LA 71446-4645

1020 W Fertita Blvd
Leesville, LA 71446-4645
Phone (337) 239-9041

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Glen D. Hurlston, M.D., Apmc CurrentSince Apr 24, 2024 Accepting new patients
Byrd Medical Clinic Inc CurrentSince Aug 22, 2015 Accepting new patients
GPN-Leesville, LLC Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

1020 W Fertitta Blvd
Leesville, LA 71446
Phone (337) 239-5278

1112 Port Arthur Ter
Leesville, LA 71446
Phone (337) 238-3005

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1272931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467763200000",
    "number": "1942527775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 PORT ARTHUR TER",
            "address_2": "DEPARTMENT OF PATHOLOGY",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714464656",
            "telephone_number": "337-238-9133",
            "fax_number": "337-238-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 PORT ARTHUR TER",
            "address_2": "DEPARTMENT OF PATHOLOGY",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714464656",
            "telephone_number": "337-238-9133",
            "fax_number": "337-238-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OJEMAKINDE",
        "first_name": "KUNLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-04",
        "last_updated": "2016-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "LA",
            "license": "MD.206190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesville, LA

Sources for this page

Verify at the official NPI Registry.