Olumide Oluremi Oluwabusi, M.D, MRCPSYCH

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MT190474 Issued in PA

Practice address

4641 Roosevelt Boulevard, Scattergood BLDG, Suite E 218
Drexel University College of Medicine, Friends Hospital
Philadelphia, PA 19124

Phone

(215) 831-4041

NPI assigned

Jul 23, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Psychiatry

Education

R Franklin University of Med & Sci/Chicago Medical School, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eastern Pennsylvania Physician Alliance, LLCGroup PAC ID 8325478662, 112 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

84.2 of 100Reported as group

Quality

78.42

Improvement activities

40

Cost

70.24

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Eastern Pennsylvania Physician Alliance LLC

  • Neurology Physician
  • Clarion, PA
  • NPI 1902440621
  Medicare reassignment Care Compare group NPD
• Uhs of Pennsylvania Inc

  • Psychiatry Physician
  • Ambler, PA
  • NPI 1225128192
  Medicare reassignment NPD
• Uhs of Pennsylvania Inc

  • Psychiatric Hospital
  • Ambler, PA
  • NPI 1295708832

  Psychiatry

  NPD

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283990400000",
    "number": "1972733061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4641 ROOSEVELT BLVD ,SCATTERGOOD BUILDING, SUITE E 218",
            "address_2": "DREXEL UNIVERSITY COLLEGE OF MEDICINE FRIENDS HOSPITAL",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191242343",
            "telephone_number": "215-762-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4641 ROOSEVELT BOULEVARD, SCATTERGOOD BLDG, SUITE E 218",
            "address_2": "DREXEL UNIVERSITY COLLEGE OF MEDICINE, FRIENDS HOSPITAL",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19124",
            "telephone_number": "215-831-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLUWABUSI",
        "first_name": "OLUMIDE",
        "middle_name": "OLUREMI",
        "name_prefix": "Dr.",
        "credential": "M.D, MRCPSYCH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-23",
        "last_updated": "2010-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MT190474",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD441059",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENNSYLVANIA STATE BOARD OF MEDICINE, M.D., PRACTICE LICENSE,",
            "identifier": "MD441059",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENNSYLVANIA, MEDICAL TRAINING LICENCE",
            "identifier": "MT190474",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony J. Olszanski, M.D.
• Kim Marie Olthoff, MD
• Ehinomen Olumese, PHARMD
• Mobolaji Olurinde
• Adeola Oluwabusi, CRNP
• David Oluwo, PHARMACIST
• Gregory Ain Olyansky
• Olympic Rehabilitation and Aquatic Center
• Om Optical
• Stephanie Omaliko, MD

• Psychiatry Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; 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.