Individual provider Active NPI

Olaide Azizat Ashimi Balogun, MD

  • Maternal & Fetal Medicine Physician
  • Houston, TX
National Provider Identifier
1942556477
Registry record updated Aug 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
Q5970 Issued in TX
Practice address
6410 Fannin St
350
Houston, TX 77030
Phone
(832) 325-7200
NPI assigned
Aug 2, 2012
Last updated
Aug 23, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X Q5970 TX
Maternal & Fetal Medicine Physician 207VM0101X Q5970 TX Primary

Addresses

Primary practice location

6410 Fannin St
350
Houston, TX 77030

Mailing address

6410 Fannin St
350
Houston, TX 77030-3000
Phone (832) 325-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20160126000833 TX Practitioner - Obstetrics/Gynecology 3870896871 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians Obstetrics & Gynecology CurrentSince Jul 16, 2017 Accepting new patients
Ut Physicians CurrentSince Jul 16, 2017 Accepting new patients
Obstetrix Medical Group of Texas Billing, Inc. Maternal & Fetal Medicine CurrentSince Jun 1, 2020 Accepting new patients
Magella Medical Associates Billing, Inc. Maternal & Fetal Medicine Past Accepting new patients
Pediatrix Medical Group of Texas Billing, Inc. Obstetrics & Gynecology Past Accepting new patients

Locations (25 of 40)

755 N 11th St
Beaumont, TX 77702
Phone (409) 899-1499

504 Medical Center Blvd
Conroe, TX 77304
Phone (936) 539-1111

508 Medical Center Blvd
Ste 320
Conroe, TX 77304
Phone (936) 523-5790

24500 Northwest Fwy
Cypress, TX 77429
Phone (346) 238-5867

24510 Northwest Fwy
Ste 650
Cypress, TX 77429
Phone (346) 616-2777

1325 Pennsylvania Ave
Ste 600
Ft Worth, TX 76104
Phone (817) 878-5298

1901 N State Highway 360
Ste 102
Grand Prairie, TX 75050
Phone (972) 647-0994

1401 St Joseph Pkwy
Houston, TX 77002
Phone (713) 575-1000

1601 St Joseph Pkwy
Houston, TX 77003
Phone (713) 657-7123

17200 State Highway 249
Ste 220
Houston, TX 77064
Phone (281) 587-2218

18220 Tomball Pkwy
Houston, TX 77070
Phone (281) 477-0000

18500 Katy Fwy
Houston, TX 77094
Phone (281) 206-9020

2100 Travis St
Ste 1250
Houston, TX 77002
Phone (346) 348-1980

5757 Woodway Dr
Ste 275
Houston, TX 77057
Phone (713) 791-9100

6410 Fannin St
#3286
Houston, TX 77030

6410 Fannin St
Ste 350
Houston, TX 77030
Phone (832) 325-7200

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

6411 Fannin St
Houston, TX 77030
Phone (713) 500-6200

710 FM 1960 Rd W
Houston, TX 77090
Phone (281) 440-1000

7400 Fannin St
Ste 720
Houston, TX 77054
Phone (281) 601-4066

7600 Fannin St
Houston, TX 77054
Phone (713) 791-7115

7700 Fannin St
Houston, TX 77054
Phone (713) 790-1349

7900 Fannin St
Ste 2600
Houston, TX 77054
Phone (713) 791-9700

7900 Fannin St
Ste 4400
Houston, TX 77054
Phone (713) 512-7900

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1343865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534982400000",
    "number": "1942556477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6410 FANNIN ST",
            "address_2": "350",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770303000",
            "telephone_number": "832-325-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6410 FANNIN ST",
            "address_2": "350",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77030",
            "telephone_number": "832-325-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHIMI BALOGUN",
        "first_name": "OLAIDE",
        "middle_name": "AZIZAT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-02",
        "last_updated": "2018-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "Q5970",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "TX",
            "license": "Q5970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.