Active NPI
Olalekan Sowade, M.D.
- Internal Medicine Physician
- Hazel Crest, IL
National Provider Identifier
1962486274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036095861
- Practice address
- 3330 W 177TH St Ste 3G
Hazel Crest, IL 60429-2199 - Phone
- (708) 798-1200
- Fax
- (708) 798-8141
- NPI assigned
- Nov 30, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 036095861 | IL | |
| Internal Medicine Physician | 207R00000X | 036095861 | IL | Primary |
Addresses
Primary practice location
3330 W 177TH St Ste 3G
Hazel Crest, IL 60429-2199
Mailing address
3330 W 177TH St Ste 3G
Hazel Crest, IL 60429-2199
Phone (708) 798-1200
Other practice location 1
17850 Kedzie Ave Ste 3000
#47
Hazel Crest, IL 60429-2086
Phone (708) 798-1200
Other practice location 2
17850 Kedzie Ave Ste 3000
#47
Hazel Crest, IL 60429-2086
Phone (708) 798-1200
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | osowade276284@direct.myadvocateaurora.org | ||
| Direct Messaging Address | osowade276284@direct.myadvocateaurora.org | ||
| FHIR URL | https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3330 W 177TH St
Suite 3G
Hazel Crest, IL 60429-2199
Hospital & facility affiliations
- Advocate Home Health Care Serv
- Northwestern Medicine Central Dupage Hospital
- St Bernard Hospital
- Advocate Trinity Hospital
- Ingalls Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036095861 | IL | MD | Internal Medicine Physician |
Interoperability endpoints
- osowade276284@direct.myadvocateaurora.org
- oowade233980@uchospital.direct-ci.com
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| St. Bernard Hospital | Hospital | Corporate Officer | Mar 1, 2019 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
Organizations & group practices 1
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.
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hazel Crest, IL
- NPI 1467560128
Hospital
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1558479212
Hospital
-
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
Hospital
-
- Home Health Agency
- Oak Brook, IL
- NPI 1598732075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639612800000",
"number": "1962486274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3330 W 177TH ST STE 3G",
"city": "HAZEL CREST",
"state": "IL",
"postal_code": "604292199",
"telephone_number": "708-798-1200",
"fax_number": "708-798-8141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3330 W 177TH ST STE 3G",
"city": "HAZEL CREST",
"state": "IL",
"postal_code": "604292199",
"telephone_number": "708-798-1200",
"fax_number": "708-798-8141"
}
],
"practiceLocations": [
{
"address_1": "17850 Kedzie Ave Ste 3000",
"address_2": "#47",
"address_purpose": "LOCATION",
"city": "Hazel Crest",
"state": "IL",
"postal_code": "604292086",
"country_code": "US",
"telephone_number": "708-798-1200",
"fax_number": "708-798-8141",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17850 Kedzie Ave Ste 3000",
"address_2": "#47",
"address_purpose": "LOCATION",
"city": "Hazel Crest",
"state": "IL",
"postal_code": "604292086",
"country_code": "US",
"telephone_number": "708-798-1200",
"fax_number": "708-798-8141",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOWADE",
"first_name": "OLALEKAN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-30",
"last_updated": "2021-12-16",
"certification_date": "2021-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "IL",
"license": "036095861",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036095861",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "osowade276284@direct.myadvocateaurora.org",
"affiliation": "N",
"address_1": "3330 W 177th St Ste 3G",
"city": "Hazel Crest",
"state": "IL",
"country_code": "US",
"postal_code": "604292199",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "osowade276284@direct.myadvocateaurora.org",
"affiliation": "N",
"address_1": "3330 W 177th St Ste 3G",
"city": "Hazel Crest",
"state": "IL",
"country_code": "US",
"postal_code": "604292199",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "3330 W 177th St Ste 3G",
"city": "Hazel Crest",
"state": "IL",
"country_code": "US",
"postal_code": "604292199",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Hazel Crest, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- 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.