DR. ADEBOWALE ANSELM OBAITAN MD NPI 1518952142

NPI Information

  • NPI: 1518952142
  • Provider Name: DR. ADEBOWALE ANSELM OBAITAN, MD
  • Classification: Emergency Medicine - 207P00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1430 LUCKENBACH DR
    ALLEN, TX
    ZIP 75013
  • Phone: (972) 390-8133

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NPI Details

DR. Adebowale Anselm Obaitan, MD is an emergency medicine in Allen, TX. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. DR. Adebowale Anselm Obaitan, MD NPI is 1518952142. 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:

1430 LUCKENBACH DR
ALLEN, TX
ZIP 75013-632
Phone: (972) 390-8133
Fax: (972) 390-9258

The NPI 1518952142 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 9/20/2005 and was last updated on 7/23/2007.

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
1207R00000XInternal MedicineM6319TEXASNo
2207P00000XEmergency Medicine051994GEORGIAYes

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
12211482626OTHERGEORGIATRICARE SOUTH
252025889003OTHERGEORGIABCBS
3H51825MEDICARE UPIN
493BBJDVMEDICARE ID-TYPE UNSPECIFIEDGEORGIA

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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