OLABODE OLUMOFIN MD
NPI 1750513982
Internal Medicine in Pine Bluff, AR
About Olabode Olumofin Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OLABODE OLUMOFIN MD (NPI 1750513982) is a healthcare organization registered as an internal medicine in Pine Bluff, Arkansas and active in the NPI registry since August 2009. The organization holds a CLIA Waiver certificate valid through June 15, 2027 and lists Olabode Olumofin, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Olabode Olumofin Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Olabode Olumofin MD, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 04D2021878
First Us Clinic PA · Pine Bluff, ARFrequently 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 First Us Clinic PA's NPI number?
The NPI number for First Us Clinic PA is 1750513982. It was assigned to this organization in the NPPES registry on August 21, 2009. The provider is also known as Olabode Olumofin MD.
Where is First Us Clinic PA located?
First Us Clinic PA is located at 1801 W 40th Ave Ste 1C, Pine Bluff, AR 71603. The listed phone number is (870) 535-4141.
What is First Us Clinic PA's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is First Us Clinic PA enrolled in Medicare?
Yes. First Us Clinic PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through First Us Clinic PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to First Us Clinic PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does First Us Clinic PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 04D2021878) is associated with this NPI, valid through June 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does First Us Clinic PA accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list First Us Clinic PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for First Us Clinic PA was last updated on March 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Olabode Olumofin Md · NPI 1750513982
Internal Medicine organization in Pine Bluff, Arkansas. Organization record, active in the CMS NPPES registry since August 21, 2009.
## Identity
- **NPI:** 1750513982 (Entity type: Organization)
- **Enumerated:** August 21, 2009
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Legal business name:** First Us Clinic Pa
- **Organization subpart:** No
- **Authorized official:** Olabode Olumofin, PRESIDENT
## Practice location
- **Address:** 1801 W 40TH AVE STE 1C, Pine Bluff, AR 71603-6956
- **Phone:** (870) 535-4141 · **Fax:** (870) 535-9180
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 3, 2011
- **Other identifiers:** Medicare PIN 5M126 (AR); Medicare UPIN H54997 (AR)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1750513982) · Data from the CMS NPPES public registry.