1. Home
  2. Directory
  3. Texas
  4. Odessa
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

OLAYINKA OLUSOLA BOLAJI MD
NPI 1396567087
Student in an Organized Health Care Education/Training Program in Odessa, TX

Active since October 25, 2024PECOS Enrolled
701 W 5TH ST, ODESSA, TX 79763(432) 703-5200(432) 335-5316 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Olayinka Olusola Bolaji Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OLAYINKA OLUSOLA BOLAJI MD (NPI 1396567087) is an individual student in an organized health care education/training program in Odessa, Texas and active in the NPI registry since October 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396567087
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameOLAYINKA OLUSOLA BOLAJICredential: MD
Location Address701 W 5TH STOdessa, TX 79763-4206
Mailing Address701 W 5th StOdessa, TX 79763-4206 · (432) 703-5212 · Fax (432) 335-5332
Phone(432) 703-5200
Fax(432) 335-5316
Sole ProprietorNo
Enumeration DateOctober 25, 2024
Last NPPES UpdateJune 26, 2025
NPPES CertifiedJune 26, 2025
✔ NPI 1396567087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
701 W 5TH ST, Odessa, TX 79763
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Olayinka Olusola Bolaji Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ADETOMIWA OGUNDERE M.D.
Internal Medicine
701 W 5TH ST
ODESSA, TX 79763
Ector County (432) 703-5375
DR. CARLOS NIETO JR. M.D.
Pediatrics (Pediatric Critical Care Medicine)
701 W 5TH ST
ODESSA, TX 79763
Ector County (432) 335-1500
AMOGE CHINENYE OPARA MD
Student in an Organized Health Care Education/Training Program
701 W 5TH ST
ODESSA, TX 79763
Ector County (432) 703-5238
DR. STEPHANIE VILLARREAL M.D.
Pediatrics
701 W 5TH ST
ODESSA, TX 79763
Ector County (432) 335-2222
MERIDITH LYNN BUZBEE
Student in an Organized Health Care Education/Training Program
701 W 5TH ST
ODESSA, TX 79763
Ector County (432) 703-5083
CARINA ROSE GOODART
Student in an Organized Health Care Education/Training Program
701 W 5TH ST
ODESSA, TX 79763
Ector County (432) 703-5238
CHUKWUDIKE GREAT NNAJI
Student in an Organized Health Care Education/Training Program
701 W 5TH ST
ODESSA, TX 79763
Ector County (432) 703-5238
LUTFOR NESSA MD, MPH
Internal Medicine
701 W 5TH ST
ODESSA, TX 79763
Ector County (432) 703-5375

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Olayinka Bolaji's NPI number?

The NPI number for Olayinka Bolaji is 1396567087. It was assigned to this individual provider in the NPPES registry on October 25, 2024.

Where is Olayinka Bolaji located?

Olayinka Bolaji practices at 701 W 5th St, Odessa, TX 79763. The listed phone number is (432) 703-5200.

What is Olayinka Bolaji's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Olayinka Bolaji enrolled in Medicare?

Yes. Olayinka Bolaji is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Olayinka Bolaji was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.