Babatunde Oladiran, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

E-12122 Issued in AR

Practice address

907 E Reed St
Hayti, MO 63851-1242

Phone

(573) 359-3660

Fax

(573) 359-3521

NPI assigned

Aug 24, 2006

Last updated

Mar 5, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO, AR2 enrollments

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 2

Specialty

General Surgery

Education

Other, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mississippi County Hospital SystemGroup PAC ID 9739230723, 17 clinicians

McPherson Medical and Diagnostic LLCGroup PAC ID 5698773539, 88 clinicians

Pemiscot County Memorial HospitalGroup PAC ID 8426024159, shared by 8 NPIs, 22 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Great River Medical Center Hospital, Blytheville, AR, CCN 040069
• Pemiscot County Memorial Hospital Hospital, Hayti, MO, CCN 260780

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: babatunde.oladiran.1@15274.direct.athenahealth.com
• Direct secure messaging: boladiran@yourcarecommunity.org
• FHIR API: https://fhir.yourcareuniverse.net/tenant/3da9ca85-20c5-41a0-bdcd-1c72cbc6cce2

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.

• McPherson Medical & Diagnostic, LLC

  dba Malden Family Clinic and Diagnostic

  • Clinic/Center
  • Malden, MO
  • NPI 1003407883
  Medicare reassignment Care Compare group NPD
• Mississippi County Hospital System

  • Emergency Medicine Physician
  • Blytheville, AR
  • NPI 1164720868
  Medicare reassignment Care Compare group NPD
• Pemiscot County Memorial Hospital

  • Emergency Care Clinic/Center
  • Hayti, MO
  • NPI 1578668661
  Medicare reassignment NPD
• McPherson Medical & Diagnostic, LLC

  • Family Medicine Physician
  • Kennett, MO
  • NPI 1124679774
  NPD
• Pemiscot County Memorial Hospital

  • Rural Acute Care Hospital
  • Hayti, MO
  • NPI 1437179710
  NPD
• Mississippi County Hospital System

  • Rural Health Clinic/Center
  • Blytheville, AR
  • NPI 1124634738
  NPD
• McPherson Medical & Diagnostic, LLC

  • Family Medicine Physician
  • Steele, MO
  • NPI 1164440806
  NPD (past)
• Great River Medical Center

  • General Acute Care Hospital
  • Blytheville, AR
  • NPI 1811068646
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Pemiscot County Memorial Hospital

  • Rural Acute Care Hospital
  • Hayti, MO
  • NPI 1437179710
  Care Compare affiliation
• Mississippi County Hospital System

  dba Great River Medical Center

  • General Acute Care Hospital
  • Blytheville, AR
  • NPI 1316180748
  Care Compare affiliation

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583366400000",
    "number": "1972610905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 E REED ST",
            "address_2": "P O BOX 489",
            "city": "HAYTI",
            "state": "MO",
            "postal_code": "638511242",
            "telephone_number": "573-359-3660",
            "fax_number": "573-359-3521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 E REED ST",
            "city": "HAYTI",
            "state": "MO",
            "postal_code": "638511242",
            "telephone_number": "573-359-3660",
            "fax_number": "573-359-3521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLADIRAN",
        "first_name": "BABATUNDE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "E-12122",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "35613",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AR",
            "license": "E-12122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208438002",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bonita Faye Mullins
• Muhammad Naseeruddin, M.D.
• Danny R Nave
• Teresa J Nichols, LCSW
• Sue Nooner
• Owl Adventures LLC (Bootheel Outpatient Clinic)
• Olumide Oyefeso, MD
• Pafford Emergency Medical Services of Missouri, Inc.
• Angela Nicole Palmer
• Anthony Parker

• Surgery Physician in Hayti, MO
• Providers in Hayti, MO by specialty
• Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.

Verify at the official NPI Registry.