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OLUTOYOSI OGUNKUA
NPI 1922366350
Anesthesiology in Charlotte, NC

Active since April 23, 2012PECOS Enrolled
74.59/100
CMS Quality Rating
3735 GLENLAKE DR STE 250, CHARLOTTE, NC 28208(704) 749-5800(704) 626-3237 Get Directions Write a Review

NPPES record last updated: May 19, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 19, 2023, Dec 5, 2018 (2 updates tracked since 2018).

About Olutoyosi Ogunkua NPPES

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

OLUTOYOSI OGUNKUA (NPI 1922366350) is an individual anesthesiology provider in Charlotte, North Carolina, licensed in North Carolina (2023-01259) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS and maintains a secondary practice location in Dallas.

NPPES Registry Identity

NPI1922366350
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameOLUTOYOSI OGUNKUA
Location Address3735 GLENLAKE DR STE 250Charlotte, NC 28208-6866
Mailing AddressPo Box 845347Dallas, TX 75284-5347 · (469) 291-3369 · Fax (214) 645-0078
Phone(704) 749-5800
Fax(704) 626-3237
Sole ProprietorYes
Enumeration DateApril 23, 2012
Last NPPES UpdateMay 19, 20232 updates tracked since enumeration
NPPES CertifiedMay 19, 2023
✔ NPI 1922366350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Licenses✔ Licensed in NC · 2023-01259✔ Licensed in TX · R1429
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
3735 GLENLAKE DR STE 250, Charlotte, NC 28208
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Secondary Practice Location 1

Location 15323 Harry Hines BlvdDallas, TX 75390-7201 · Phone (214) 648-6400 · Fax (214) 648-5461

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Olutoyosi Ogunkua 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Olutoyosi Ogunkua reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Providence Anesthesiology Associates, P.A.
Same address
Anesthesiology
3735 GLENLAKE DR STE 250
Charlotte, NC 28208
  • Reassigned Medicare billing, North Carolina enrollment
  • Medicare enrollment name: Providence Anesthesiology Associates PA
  • 483 clinicians in this Medicare group
NPI 1396739884 (704) 749-5800
The University Of Texas Southwestern Medical Center At Dallas
850 mi
Physical Medicine & Rehabilitation
1000 S BECKHAM AVE
Tyler, TX 75701
  • Reassigned Medicare billing, Texas enrollment
  • 5,299 clinicians in this Medicare group
NPI 1417099599 (214) 645-0624

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

74.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.12
Promoting Interoperability100
Improvement Activities40
Cost59.2

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.

KELLY COMOLLI WILSON MD
Anesthesiology
3735 GLENLAKE DR STE 250
CHARLOTTE, NC 28208
Mecklenburg County (704) 749-5800
PROVIDENCE ANESTHESIOLOGY ASSOCIATES, P.A.
Anesthesiology
3735 GLENLAKE DR STE 250
CHARLOTTE, NC 28208
Mecklenburg County (704) 749-5800
MRS. TIFFANY S OWENS M.D.
Anesthesiology
3735 GLENLAKE DR STE 250
CHARLOTTE, NC 28208
Mecklenburg County (704) 749-5800
JASON KOPENITZ DO
Anesthesiology
3735 GLENLAKE DR STE 250
CHARLOTTE, NC 28208
Mecklenburg County (704) 749-5800
SARAH SWEETMAN MD
Anesthesiology
3735 GLENLAKE DR STE 250
CHARLOTTE, NC 28208
Mecklenburg County (704) 749-5800
DR. AMIRA CHOUCAIR MD, PHD
Anesthesiology
3735 GLENLAKE DR STE 250
CHARLOTTE, NC 28208
Mecklenburg County (704) 749-5800
MRS. JESSICA SHEARL LEWIS CRNA
Nurse Anesthetist, Certified Registered
3735 GLENLAKE DR STE 250
CHARLOTTE, NC 28208
Mecklenburg County (704) 749-5800
DR. HAROLD DOUGLAS WACKERLE M.D.
Anesthesiology
3735 GLENLAKE DR STE 250
CHARLOTTE, NC 28208
Mecklenburg County (704) 749-5800

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 Olutoyosi Ogunkua's NPI number?

The NPI number for Olutoyosi Ogunkua is 1922366350. It was assigned to this individual provider in the NPPES registry on April 23, 2012.

Where is Olutoyosi Ogunkua located?

Olutoyosi Ogunkua practices at 3735 Glenlake Dr Ste 250, Charlotte, NC 28208. The listed phone number is (704) 749-5800.

What is Olutoyosi Ogunkua's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Olutoyosi Ogunkua enrolled in Medicare?

Yes. Olutoyosi Ogunkua is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Olutoyosi Ogunkua's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Olutoyosi Ogunkua reassigns Medicare benefits to 2 organizations: Providence Anesthesiology Associates, P.A. (Charlotte, NC) and The University Of Texas Southwestern Medical Center At Dallas (Tyler, TX). Each 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 Olutoyosi Ogunkua's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Olutoyosi Ogunkua accept?

Health plans from Cigna Healthcare list Olutoyosi Ogunkua 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 Olutoyosi Ogunkua was last updated on May 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.