Organization Active NPI

Olupona Foot and Ankle, LLC

  • Foot & Ankle Surgery Podiatrist
  • Miami, FL
National Provider Identifier
1952769903
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO3757 Issued in FL
Legal business name
OLUPONA FOOT AND ANKLE, LLC
Practice address
2601 SW 37TH Ave Ste 604
Miami, FL 33133-2750
Phone
(202) 321-8812
NPI assigned
Feb 5, 2016
Last updated
Jun 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Authorized official

Name
Bamidele Olugbenga OluponaNPI 1548502867
Title
Physician
Phone
(202) 321-8812

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO3757 FL Primary

Addresses

Primary practice location

2601 SW 37TH Ave Ste 604
Miami, FL 33133-2750

Mailing address

2601 SW 37TH Ave Ste 604
Miami, FL 33133-2750
Phone (202) 321-8812

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190730003492 FL Part B Supplier - Clinic/Group Practice 4082940952 Receives reassigned benefits from 4 practitioners
Practice locations: Miami, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2261489Olupona Foot and Ankle LLC2601 SW 37TH Ave #604, Miami, FL 33133ComplianceOct 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Olupona Foot and Ankle LLC9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2601 SW 37th Ave
Ste 604
Miami, FL 33133
Phone (305) 324-7913

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1454630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780272000000",
    "number": "1952769903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 SW 37TH AVE STE 604",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331332750",
            "telephone_number": "202-321-8812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 SW 37TH AVE STE 604",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331332750",
            "telephone_number": "202-321-8812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLUPONA FOOT AND ANKLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-05",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A",
        "authorized_official_last_name": "OLUPONA",
        "authorized_official_first_name": "BAMIDELE",
        "authorized_official_middle_name": "OLUGBENGA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "202-321-8812"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.