DR. BABATUNDE OLUTADE MD NPI 1316050750

NPI Information

  • NPI: 1316050750
  • Provider Name: DR. BABATUNDE OLUTADE, MD
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5903 RIDGEWOOD RD
    SUITE 340
    JACKSON, MS
    ZIP 39211
  • Phone: (601) 899-3340

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NPI Details

DR. Babatunde Olutade, MD is a nephrology internal medicine in Jackson, MS with 45 years of experience. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. DR. Babatunde Olutade, MD NPI is 1316050750. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5903 RIDGEWOOD RD
SUITE 340
JACKSON, MS
ZIP 39211-700
Phone: (601) 899-3340
Fax: (601) 899-3343

The NPI 1316050750 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Hemodialysis procedure with physician evaluation (HCPCS:90935)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Dialysis services, 4 or more physician visits per month (20 years or older) (HCPCS:90960)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Dialysis services, 1 physician visit per month (20 years or older) (HCPCS:90962)
  • Dialysis services, 2-3 physician visits per month (20 years or older) (HCPCS:90961)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)

The enumeration date for this NPI number is 8/17/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RN0300XInternal MedicineNephrology015731MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10119520MEDICAIDMISSISSIPPI
2E33490MEDICARE UPINMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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