Individual provider Active NPI

Olusegun A Oseni, MD, FCCP

  • Pulmonary Disease Physician
  • Weatherford, TX
National Provider Identifier
1982699005
Registry record updated Feb 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
L9836 Issued in TX
Practice address
1200 Clear Lake Rd
Weatherford, TX 76086-5891
Phone
(817) 594-9993
Fax
(817) 594-9915
NPI assigned
Sep 14, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2019

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X L9836 TX
Critical Care Medicine (Internal Medicine) Physician 207RC0200X L9836 TX
Pulmonary Disease Physician 207RP1001X 054632 GA
Sleep Medicine (Internal Medicine) Physician 207RS0012X L9836 TX
Pulmonary Disease Physician 207RP1001X L9836 TX Primary

Addresses

Primary practice location

1200 Clear Lake Rd
Weatherford, TX 76086-5891

Mailing address

1200 Clear Lake Rd
Weatherford, TX 76086-5802
Phone (817) 594-9993

Other identifiers 2

IdentifierTypeStateIssuer
382862700AMedicaidGA
1982699005OtherIND NPI

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100721000134 TX Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Sleep MedicinePractitioner - Critical Care (Intensivists) 9032191614 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Sleep Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Olusegun Oseni PAGroup PAC ID 7012049406, 4 clinicians

Practice addresses (Care Compare)

1200 Clear Lake Rd
Weatherford, TX 76086-5802
Phone (817) 594-9993

Hospital & facility affiliations

  • Texas Health Harris Methodist Fort Worth Hospital, Fort Worth, TX, CCN 450135
  • Medical City Weatherford Hospital, Weatherford, TX, CCN 450203
  • Palo Pinto General Hospital Hospital, Mineral Wells, TX, CCN 450565
  • Lake Granbury Medical Center Hospital, Granbury, TX, CCN 450596
  • Texas Health Harris Methodist Hospital Stephenvill Hospital, Stephenville, TX, CCN 450351

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Olusegun Oseni PA Internal Medicine CurrentSince Apr 25, 2010 Accepting new patients
The Lung Centers of Georgia Past Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

1200 Clear Lake Rd
Weatherford, TX 76086
Phone (817) 594-9993

945 Hilltop Dr
Ste 101
Weatherford, TX 76086
Phone (817) 458-4985

Organizations & group practices 3

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 5

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

NPI Registry JSON

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549324800000",
    "number": "1982699005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CLEAR LAKE RD",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865802",
            "telephone_number": "817-594-9993",
            "fax_number": "817-594-9915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 CLEAR LAKE RD",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865891",
            "telephone_number": "817-594-9993",
            "fax_number": "817-594-9915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSENI",
        "first_name": "OLUSEGUN",
        "middle_name": "A",
        "credential": "MD, FCCP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2019-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L9836",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": "L9836",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "GA",
            "license": "054632",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "TX",
            "license": "L9836",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "L9836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "382862700A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IND NPI",
            "identifier": "1982699005",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weatherford, TX

Sources for this page

Verify at the official NPI Registry.