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DR. OLUBUNMI ABOSEDE OKANLAMI M.D.
NPI 1407847049
Pediatrics - Pediatric Critical Care Medicine in South Bend, IN

Active since November 02, 2005PECOS Enrolled
615 N MICHIGAN ST, SOUTH BEND, IN 46601(574) 647-7426(574) 647-6780 Get Directions Write a Review

NPPES record last updated: March 5, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 5, 2018, Mar 22, 2016 (2 updates tracked since 2016).

About Dr. Olubunmi Abosede Okanlami M.d. NPPES

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

DR. OLUBUNMI ABOSEDE OKANLAMI M.D. (NPI 1407847049) is an individual pediatric critical care medicine provider in South Bend, Indiana, licensed in Indiana (01042229A) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407847049
Entity TypeIndividualFemale
Primary Taxonomy2080P0203X
Provider Legal NameDR. OLUBUNMI ABOSEDE OKANLAMICredential: M.D.
Location Address615 N MICHIGAN STSouth Bend, IN 46601-1033
Mailing Address51310 Shamrock Hills DrGranger, IN 46530-7821 · (574) 532-6280
Phone(574) 647-7426
Fax(574) 647-6780
Sole ProprietorNo
Enumeration DateNovember 2, 2005
Last NPPES UpdateMarch 5, 20182 updates tracked since enumeration
✔ NPI 1407847049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in IN · 01042229A
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedPediatricsTaxonomy 208000000X · License 01042229A (IN)
615 N MICHIGAN ST, South Bend, IN 46601
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Other Identifiers 2

Other000000370175IN · Bcbs Memorial Childrens Hospital
Medicaid200029310IN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Olubunmi Abosede Okanlami M.d. 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.

AARON MICHAEL MOJICA CRNA
Nurse Anesthetist, Certified Registered
615 N MICHIGAN ST
SOUTH BEND, IN 46601
St. Joseph County (574) 612-2476
RACHEL ANN JENNINGS NP
Nurse Practitioner
615 N MICHIGAN ST
SOUTH BEND, IN 46601
St. Joseph County (574) 647-1000
DR. GEVORG MARTIROSYAN PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
615 N MICHIGAN ST
SOUTH BEND, IN 46601
St. Joseph County (574) 647-3119
BRANDON WELLER MD
Ophthalmology
615 N MICHIGAN ST
SOUTH BEND, IN 46601
St. Joseph County (574) 647-1000
MELINDA DEUBNER PHARMD
Pharmacist (Critical Care)
615 N MICHIGAN ST
SOUTH BEND, IN 46601
St. Joseph County (574) 647-6302
MELISSA MARIE GLASER RN
Registered Nurse (Case Management)
615 N MICHIGAN ST, MEMORIAL HOSPITAL- COMMUNITY HEALTH ENHANCEMENT
SOUTH BEND, IN 46601
St. Joseph County (574) 647-2173
MRS. NANCY ANN TAGHON RD
Dietitian, Registered
615 N MICHIGAN ST
SOUTH BEND, IN 46601
St. Joseph County (574) 647-6351
DR. NICHOLAS HAROLD KERR DO
Family Medicine (Hospice and Palliative Medicine)
615 N MICHIGAN ST, 1ST FL HOSPITALIST STE
SOUTH BEND, IN 46601
St. Joseph County (574) 647-3050

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 Olubunmi Okanlami's NPI number?

The NPI number for Olubunmi Okanlami is 1407847049. It was assigned to this individual provider in the NPPES registry on November 2, 2005.

Where is Olubunmi Okanlami located?

Olubunmi Okanlami practices at 615 N Michigan St, South Bend, IN 46601. The listed phone number is (574) 647-7426.

What is Olubunmi Okanlami's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Olubunmi Okanlami enrolled in Medicare?

Yes. Olubunmi Okanlami is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Olubunmi Okanlami was last updated on March 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.