MS. OLUDARA OMOBOLA AMOLE M.D
NPI 1962769901
Internal Medicine in Hollywood, FL

Q: What is Oludara Amole's NPI number?

The NPI number for Oludara Amole is 1962769901. It was assigned to this individual provider in the NPPES registry on April 16, 2012.

Q: What is Oludara Amole's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Oludara Amole was last updated on March 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since April 16, 2012PECOS EnrolledAccepts Medicare Assignment

4105 PEMBROKE RD, HOLLYWOOD, FL 33021(954) 265-8400(954) 985-2295 Get Directions Write a Review

NPPES record last updated: March 19, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 19, 2021, Jan 22, 2020, Feb 4, 2016 (3 updates tracked since 2016).

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About Ms. Oludara Omobola Amole M.d NPPES

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

MS. OLUDARA OMOBOLA AMOLE M.D (NPI 1962769901) is an individual internal medicine provider in Hollywood, Florida, licensed in Florida (ME126897) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, is affiliated with Memorial Regional Hospital, and is a graduate of Medical College Of Wisconsin (2012).

NPPES Registry Identity

NPI1962769901

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameMS. OLUDARA OMOBOLA AMOLECredential: M.D

Location Address4105 PEMBROKE RDHollywood, FL 33021-8103

Mailing Address2900 Corporate Way, Door DMiramar, FL 33025-3925 · (954) 276-5685 · Fax (954) 985-7074

Phone(954) 265-8400

Fax(954) 985-2295

Sole ProprietorNo

Medical School CMSMedical College Of WisconsinGraduated 2012

Enumeration DateApril 16, 2012

Last NPPES UpdateMarch 19, 20213 updates tracked since enumeration

NPPES CertifiedMarch 19, 2021

✔ NPI 1962769901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in FL · ME126897

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

4105 PEMBROKE RD, Hollywood, FL 33021

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 22 Health, Ambetter from Superior HealthPlan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Oludara Omobola Amole M.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012212210

PECOS Enrollment IDI20160225002438

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 Reassignment

Medicare enrollment records show Oludara Amole reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

South Broward Hospital District

1.1 mi

Pediatric Orthopaedic Surgery

3440 HOLLYWOOD BLVD STE 140
Hollywood, FL 33021

Reassigned Medicare billing, Florida enrollment
466 clinicians in this Medicare group

NPI 1407865520 (954) 265-6300

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

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

101 services51 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

37 services37 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

37 services37 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

14 services11 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Regional Hospital

Acute Care Hospitals · Hollywood, FL

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100038

Location3501 Johnson StHollywood, FL 33021 · Broward County

Emergency services Birthing friendly

Memorial Hospital Pembroke

Acute Care Hospitals · Pembroke Pines, FL

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100230

Location7800 Sheridan StPembroke Pines, FL 33024 · Broward County

Emergency services

Memorial Hospital West

Acute Care Hospitals · Pembroke Pines, FL

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100281

Location703 N Flamingo RdPembroke Pines, FL 33028 · Broward County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33021 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$135.56 typical visit price

range $58.56 – $179.05

Typical copayment $33.89 (range $14.64 – $44.76)

Most-billed visit code 99204

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

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