Olubukola Omobolaji Ayeni, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

19920 Issued in FL

Practice address

2112 Regional Medical Dr Ste 1317
Wharton, TX 77488-1413

Phone

(979) 245-2008

Fax

(979) 314-7164

NPI assigned

May 23, 2014

Last updated

Jan 5, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Obstetrics/Gynecology

Education

Howard University College of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Matagorda Episcopal Health Outreach Program CorporationGroup PAC ID 6002853538, 9 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: olubukola.ayeni.1@17406.direct.athenahealth.com

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.

• Matagorda Episcopal Health Outreach Program Corporation

  dba MEHOP Physician Group

  • Federally Qualified Health Center (FQHC)
  • Bay City, TX
  • NPI 1598024788

  Obstetrics & Gynecology

  Medicare reassignment Care Compare group NPD
• Asian American Health Coalition of the Greater Houston Area

  dba Hope Clinic

  • Federally Qualified Health Center (FQHC)
  • Houston, TX
  • NPI 1699966754
  Medicare reassignment NPD
• HCA Houston OB Hospitalist, PLLC

  • Obstetrics & Gynecology Physician
  • Corpus Christi, TX
  • NPI 1144081431
  Medicare reassignment NPD
• Pediatrix Medical Group of Texas Billing, Inc.

  • Neonatal-Perinatal Medicine Physician
  • Houston, TX
  • NPI 1649377359

  Obstetrics & Gynecology

  Medicare reassignment NPD
• Asian American Health Coalition of the Greater Houston Area

  dba HOPE Health Pharmacy

  • Pharmacy
  • Houston, TX
  • NPI 1174236632
  NPD
• Asian American Health Coalition of the Greater Houston Area

  dba HOPE Clinic

  • Federally Qualified Health Center (FQHC)
  • Houston, TX
  • NPI 1972239341
  NPD
• Matagorda Episcopal Health Outreach Program

  dba MEHOP Wharton Health 3

  • Federally Qualified Health Center (FQHC)
  • Wharton, TX
  • NPI 1205449386
  NPD
• Matagorda Episcopal Health Outreach Program

  dba MEHOP Wharton Health 2

  • Federally Qualified Health Center (FQHC)
  • Wharton, TX
  • NPI 1568075638
  NPD
• Chca West Houston L P

  dba HCA Houston Healthcare West

  • General Acute Care Hospital
  • Houston, TX
  • NPI 1275580938
  NPD (past)
• Matagorda Episcopal Health Outreach Program

  dba Vibrance Health

  • Dentist
  • Bay City, TX
  • NPI 1073703575
  NPD (past)
• Matagorda Episcopal Health Outreach Program

  • Federally Qualified Health Center (FQHC)
  • Palacios, TX
  • NPI 1467009092
  NPD (past)
• Memorial Hermann Health System

  dba Memorial Hermann Sugar Land Hospital

  • General Acute Care Hospital
  • Sugar Land, TX
  • NPI 1295788735
  NPD (past)

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

{
    "created_epoch": "1400803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1972915023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 AVENUE F N",
            "city": "BAY CITY",
            "state": "TX",
            "postal_code": "774143167",
            "telephone_number": "979-245-2008",
            "fax_number": "979-314-7164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 REGIONAL MEDICAL DR STE 1317",
            "city": "WHARTON",
            "state": "TX",
            "postal_code": "774881413",
            "telephone_number": "979-245-2008",
            "fax_number": "979-314-7164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYENI",
        "first_name": "OLUBUKOLA",
        "middle_name": "OMOBOLAJI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-23",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "19920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14377581",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "athenanet.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "API",
            "address_1": "111 Avenue F",
            "city": "Bay City",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774144117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nonyerem Anunne, PHARMD
• Austin Assisting LLC
• Brittany Denise Autery, M.S., CCC-SLP
• Alice Jean Autrey
• Peggy Lee Avendano, FNP
• Cheryl Lynn Baines
• Amber Leigh Barbee, LPC-S, CSC, CART
• Clint Barbee, CCC-SLP
• Kristi Barger, PHARMD
• Jeremy Peyton Barron

• Obstetrics & Gynecology Physician in Wharton, TX
• Providers in Wharton, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; 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.