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DR. OYEBOLA ELLEN OYEWOLE MD, MS
NPI 1730750563
Student in an Organized Health Care Education/Training Program in Oakland, CA

Active since July 02, 2021PECOS Enrolled
275 W MACARTHUR BLVD, OAKLAND, CA 94611(510) 752-1000 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Nov 3, 2025, Apr 15, 2024, Jul 2, 2021 (3 updates tracked since 2021).

About Dr. Oyebola Ellen Oyewole Md, Ms NPPES

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

DR. OYEBOLA ELLEN OYEWOLE MD, MS (NPI 1730750563) is an individual student in an organized health care education/training program in Oakland, California, licensed in California (PTL17265) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730750563
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. OYEBOLA ELLEN OYEWOLECredential: MD, MS
Location Address275 W MACARTHUR BLVDOakland, CA 94611-5641
Mailing Address275 W Macarthur BlvdOakland, CA 94611-5641 · (510) 752-1000
Phone(510) 752-1000
Sole ProprietorNo
Enumeration DateJuly 2, 2021
Last NPPES UpdateNovember 3, 20253 updates tracked since enumeration
NPPES CertifiedNovember 3, 2025
✔ NPI 1730750563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in CA · PTL17265
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.
Also ListedPediatricsTaxonomy 208000000X · License PTL17265 (CA)
275 W MACARTHUR BLVD, Oakland, CA 94611
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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. Oyebola Ellen Oyewole Md, Ms 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.

DR. ANNA C. MORGAN MD
Specialist
275 W MACARTHUR BLVD
OAKLAND, CA 94611
Alameda County (510) 752-1000
DR. TRANG H. LA MD
Radiology (Radiation Oncology)
275 W MACARTHUR BLVD
OAKLAND, CA 94611
Alameda County (510) 752-1000
DR. AMIN MATIN M.D., M.P.H.
Radiology (Diagnostic Radiology)
275 W MACARTHUR BLVD
OAKLAND, CA 94611
Alameda County (925) 295-5758
SUCHETA KORWAR MD
Student in an Organized Health Care Education/Training Program
275 W MACARTHUR BLVD
OAKLAND, CA 94611
Alameda County (510) 752-1000
MR. MATTHEW GABRIELSON D.P.T.
Physical Therapist (Orthopedic)
275 W MACARTHUR BLVD
OAKLAND, CA 94611
Alameda County (510) 752-6221
MALORIE HACKER MD
Student in an Organized Health Care Education/Training Program
275 W MACARTHUR BLVD
OAKLAND, CA 94611
Alameda County (510) 752-1000
RENEE L. PERRY DO
Obstetrics & Gynecology
275 W MACARTHUR BLVD
OAKLAND, CA 94611
Alameda County (510) 752-1000
HERPRIT KAUR MAHAL MD
Hospitalist
275 W MACARTHUR BLVD
OAKLAND, CA 94611
Alameda County (510) 752-1000

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 Oyebola Oyewole's NPI number?

The NPI number for Oyebola Oyewole is 1730750563. It was assigned to this individual provider in the NPPES registry on July 2, 2021.

Where is Oyebola Oyewole located?

Oyebola Oyewole practices at 275 W Macarthur Blvd, Oakland, CA 94611. The listed phone number is (510) 752-1000.

What is Oyebola Oyewole's specialty?

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

Is Oyebola Oyewole enrolled in Medicare?

Yes. Oyebola Oyewole is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Oyebola Oyewole was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.