Individual provider Active NPI

Adewale A Babalola, NP

  • Nurse Practitioner
  • Sugar Land, TX
National Provider Identifier
1942941307
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP141282 Issued in TX
Practice address
9418 Heflin Colony Dr
Sugar Land, TX 77498-7559
Phone
(281) 772-7600
NPI assigned
Apr 7, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 805730 TX
Nurse Practitioner 363L00000X AP141282 TX Primary

Addresses

Primary practice location

9418 Heflin Colony Dr
Sugar Land, TX 77498-7559

Mailing address

9418 Heflin Colony Dr
Sugar Land, TX 77498-7559
Phone (281) 772-7600

Other identifiers 1

IdentifierTypeStateIssuer
1619116MedicaidTX

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address wbabalola@ymail.com Direct
Direct Messaging Address wbabalola@ymail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
805730TXMDNurse Practitioner
AP141282TXMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1942941307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9418 HEFLIN COLONY DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774987559",
            "telephone_number": "281-772-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9418 HEFLIN COLONY DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774987559",
            "telephone_number": "281-772-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABALOLA",
        "first_name": "ADEWALE",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-07",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "805730",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP141282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619116",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wbabalola@ymail.com",
            "affiliation": "N",
            "endpointDescription": "Contact email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9418 Heflin Colony Dr",
            "city": "Sugar Land",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774987559",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wbabalola@ymail.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9418 Heflin Colony Dr",
            "city": "Sugar Land",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774987559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.